Budget And Reimbursement Specialist

Budget and Reimbursement Specialist Overview

• The Budget and Reimbursement Specialist will oversee financial planning and reimbursement functions in a healthcare organization.
• Coordinate annual Medicare, Medicaid, and state statistical report submissions with external accounting firms.
• Collaborate on developing annual operating and capital budgets with corporate and facility staff.
• Analyze financial performance against budget expectations and provide actionable insights.
• Engage with state officials on Medicaid/Medicare audits, rate reviews, and appeals processes.
• Manage the Certificate of Need process for capital projects and acquisitions.
• Perform qualitative and quantitative analyses for capital acquisitions and financial planning.
• Contribute to the strategic financial management of the organization.

Budget and Reimbursement Specialist Key Responsibilities & Duties

• Coordinate and manage third-party reimbursement functions, including Medicare and Medicaid reporting.
• Develop and oversee annual operating and capital budgets in collaboration with stakeholders.
• Conduct performance reviews comparing financial results to budgeted expectations.
• Work with state officials on audits, rate reviews, and appeals related to reimbursement.
• Manage the Certificate of Need process for capital projects and acquisitions.
• Perform detailed qualitative and quantitative analyses for financial planning and decision-making.
• Ensure compliance with financial regulations and standards in healthcare accounting.
• Support the organization’s strategic financial goals through effective management practices.

Budget and Reimbursement Specialist Job Requirements

• Bachelor’s degree in Accounting or Business Administration required.
• 5-10 years of experience in healthcare accounting, preferably in long-term care or skilled nursing.
• Proficiency in budgeting, cost reporting, and third-party reimbursement rates.
• Strong qualitative and quantitative analytical skills.
• Experience with Workday or similar general ledger/accounting systems preferred.
• Thorough knowledge of Excel and financial analysis tools.
• Ability to manage deadlines and work collaboratively with teams.
• Commitment to maintaining compliance with healthcare financial regulations.