Director of Reimbursement & Financial Analysis Responsibilities:
- Act as the primary connection between Finance, Accounting, and Revenue Cycle teams
- Develop and implement reimbursement strategies for Medicare, Medicaid, and commercial insurance
- Stay informed on legislative and regulatory changes impacting Medicare/Medicaid reimbursement, assess their impact, and adjust strategies accordingly
- Collaborate with third-party partners to generate and analyze AR reports using RCA software, identifying trends, inefficiencies, and overseeing the month-end net AR close process
- Lead the preparation, review, and submission of annual Medicare/Medicaid cost reports, ensuring compliance with CMS regulations
- Work with external auditors during Medicare/Medicaid audits and manage responses to audit finding
- Oversee Medicare bad debt policies and procedures
- Analyze key performance indicators (KPIs) related to accounts receivable, bad debt, denials, and collection rates
- Provide financial and strategic insights for payor contract negotiations to optimize reimbursement rates
- Support the annual CDM pricing review process
- Offer reimbursement expertise in strategic financial modeling for partnerships and expansions
- Present complex financial data and insights to senior leadership, offering recommendations for financial and operational improvements
- Lead financial forecasting, budgeting, and reporting efforts for revenue cycle operations
Director of Reimbursement & Financial Analysis Requirements:
- Bachelor's degree in Healthcare Administration, Finance, or a related field (Master’s degree and/or CPA preferred)
- 10+ years of experience in healthcare financial operations, with at least 5 years in reimbursement roles (or equivalent experience through advanced degrees)
- In-depth knowledge of CMS regulations, cost reporting, and healthcare reimbursement methodologies
- Strong understanding of revenue cycle processes and their impact on net revenue and AR valuation
- Experience with Medicare Cost Report preparation and review
- Proficiency in RCA software for AR analysis and accounting
- Familiarity with healthcare billing, coding practices, and electronic health record (EHR) systems
- Strong analytical, problem-solving, and negotiation skills
- Ability to effectively communicate complex financial information to leadership and cross-functional teams
- Expertise in accounting principles related to revenue and accounts receivable
- Capable of managing multiple priorities in a fast-paced environment
Thank you,
Joey Anderson
Team Lead
LaSalle Network
LaSalle Network is an Equal Opportunity Employer m/f/d/v.
LaSalle Network is the leading provider of direct hire and temporary staffing services. For over two decades, LaSalle has helped organizations hire faster and connect top talent with opportunities, from entry-level positions to the C-suite. With units specializing in Accounting and Finance, Administrative, Marketing, Technology, Supply chain, Healthcare Revenue Cycle, Call Center, Human Resources and Executive Search. LaSalle offers staffing and recruiting solutions to companies of all sizes and across all industries. LaSalle Network is the premier staffing and recruiting firm, earning over 100 culture, revenue and industry-based awards from major publications and having its company experts regularly contribute insights on retention strategies, hiring trends and hiring challenges, and more to national news outlets.
