Healthcare Reimbursement Senior Consultant

About this role

• **Overview** ============ Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S.
• and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston.
• Baker Tilly Advisory Group, LP and Baker Tilly US, LLP (Baker Tilly) provide professional services through an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards.
• Baker Tilly US, LLP is a licensed independent CPA firm that provides attest services to its clients.
• Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and business advisory services to their clients.
• Baker Tilly Advisory Group, LP and its subsidiary entities are not licensed CPA firms.
• Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion.
• Visit bakertilly.com or join the conversation on LinkedIn, Facebook and Instagram.
• Please discuss the work location status with your Baker Tilly talent acquisition professional to understand the requirements for an opportunity you are exploring.
• *Baker Tilly is an equal* *opportunity/affirmative* *action employer.
• All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status, gender identity, sexual orientation, or any other legally protected basis, in accordance with applicable federal, state or local law.* *Any unsolicited resumes submitted through our website or to Baker Tilly Advisory Group, LP, employee e-mail accounts are considered property of Baker Tilly Advisory Group, LP, and are not subject to payment of agency fees.
• In order to be an authorized recruitment agency ("search firm") for Baker Tilly Advisory Group, LP, there must be a formal written agreement in place and the agency must be invited, by Baker Tilly's Talent Attraction team, to submit candidates for review via our applicant tracking system.* **Job Description:** ==================== Are you interested in joining one of the fastest-growing professional services firms in the nation?
• Do you enjoy helping healthcare organizations navigate complex Medicare and Medicaid reimbursement requirements, identify reimbursement opportunities, and improve the accuracy and effectiveness of their regulatory reporting?
• If so, consider joining Baker Tilly as a Senior Consultant - Healthcare Reimbursement.
• As a Healthcare Reimbursement Senior Consultant, you will be an integral member of Baker Tilly's healthcare consulting practice, working directly with hospitals, health systems, and other healthcare providers on Medicare and Medicaid cost reporting, reimbursement analysis, and related advisory engagements.
• You will combine technical reimbursement knowledge, financial analysis, and client service skills to help clients address complex regulatory requirements and reimbursement challenges.
• Baker Tilly offers opportunities for career growth, flexibility in how and where you work, and meaningful relationships with clients, colleagues, and leaders who are invested in your professional development.
• **What You Will Do** ==================== As a Healthcare Reimbursement Senior Consultant, you will: * Prepare and review Medicare and Medicaid cost reports for hospitals and other healthcare providers, including analysis of financial, statistical, reimbursement, and operational data supporting cost report filings.
• * Apply knowledge of Medicare and Medicaid reimbursement regulations, CMS requirements, and state-specific reimbursement methodologies to client engagements.
• * Analyze cost report data and reimbursement results to identify trends, inconsistencies, potential reimbursement opportunities, compliance considerations, and areas requiring further investigation.
• * Perform detailed reconciliations of cost report data to financial statements, general ledger information, patient statistics, and other supporting documentation.
• * Independently manage significant portions of client engagements, including gathering client information, performing analyses, documenting conclusions, and meeting filing and project deadlines.
• * Prepare and review specialized Medicare and Medicaid reimbursement analyses and projects, including wage index and occupational mix reviews, IME/GME reimbursement, provider-based services, and special hospital designations such as Sole Community Hospital and Medicare-Dependent Hospital status.
• * Assist clients with Medicare Administrative Contractor (MAC), state Medicaid agency, and other regulatory requests related to cost reports and reimbursement matters, as applicable to the engagement.
• * Develop clear workpapers, analyses, client deliverables, and documentation supporting reimbursement positions and conclusions.
• * Communicate directly with client finance, reimbursement, and accounting personnel to obtain information, resolve questions, and communicate project status and findings.
• * Identify potential reimbursement opportunities and risks and communicate observations and recommendations to engagement leadership and clients.
• * Manage multiple concurrent client engagements and priorities while meeting regulatory filing dates and internal deadlines.
• * Collaborate with senior leaders on complex reimbursement matters and special consulting projects.
• * Provide day-to-day guidance, technical support, and review assistance to Consultants and other junior team members.
• * Contribute to the continuous improvement of cost reporting processes, analytical tools, templates, and engagement methodologies.
• * Stay current on changes in CMS regulations, Medicare reimbursement policy, Medicaid reimbursement requirements, and healthcare industry developments, and share relevant knowledge with colleagues and clients.
• * Maintain high standards of quality, professionalism, confidentiality, and client service while meeting the Firm's engagement and productivity expectations.
• **Successful Candidates Will Have** =================================== * Bachelor's degree in accounting, finance, healthcare administration, business, or a related field.
• * Minimum 3+ years of relevant healthcare reimbursement, Medicare/Medicaid cost reporting, healthcare finance, or related consulting experience.
• * Hands-on experience preparing and/or reviewing Medicare hospital cost reports.
• * Experience preparing and/or reviewing Medicaid or state medical assistance cost reports.
• * Working knowledge of federal and state healthcare reimbursement regulations and reimbursement methodologies.
• * Strong understanding of hospital financial statements, general ledger data, reimbursement statistics, and the relationship between financial information and regulatory cost reporting.
• * Demonstrated ability to analyze healthcare reimbursement and cost report data and develop meaningful observations and recommendations.
• * Strong Microsoft Excel skills and proficiency with Microsoft Office; experience with Medicare/Medicaid cost reporting or healthcare reimbursement software is preferred.
• * Strong analytical, problem-solving, organizational, and project-management skills.
• * Ability to independently manage assigned workstreams and deliver high-quality work in a deadline-driven, multi-client environment.
• * Strong written and verbal communication skills with the ability to communicate technical reimbursement concepts clearly to clients and colleagues.
• * Demonstrated ability to develop effective client relationships and collaborate across engagement teams.
• * Ability and willingness to coach and support junior team members.
• * Ability to quickly learn new regulations, reimbursement methodologies, technology platforms, and processes.
• * Commitment to continuous professional development and sharing knowledge across the practice.
• **Preferred Qualifications** ============================ * Experience with hospital Medicare cost reporting, including CMS Form 2552-10.
• * Experience with reimbursement projects involving wage index, occupational mix, IME/GME, provider-based departments, or special hospital classifications.
• * Experience interacting with MACs, state Medicaid agencies, or other healthcare reimbursement authorities.
• * Experience within a healthcare consulting, public accounting, hospital reimbursement, or health system finance environment.
• * Advanced Excel and healthcare data-analysis capabilities.
• The pay range for this position is $78,500 to $126,400.
• This range represents a good-faith and reasonable estimate of the compensation the firm expects to pay for this position at the time of posting.
• Actual compensation will depend on a variety of relevant factors, including an applicant's skills, experience, qualifications, professional certifications, work arrangements, geographic location, and other business and organizational needs.
• It is not typical for an individual to be hired at or near the top of the range, and compensation decisions depend on the facts and circumstances of each case.
• Baker Tilly offers a compensation and benefits package to eligible employees.

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