Job Description

POSITION TITLE: Director of Reimbursement and Revenue

FLSA STATUS: Exempt, Full-Time

REPORTS TO: Chief Financial Officer

SUPERVISES: Revenue Cycle Manager, Billing Department

DEPARTMENT: Accounting and Finance

COMPANY: MHS/The Overlook – Charlton Campus

POSITION SUMMARY:

The Director of Reimbursement and Revenue will assist in the preparation of revenue, supporting schedules, analysis, reporting, and audits according to the monthly, quarterly, and yearly close and reporting schedule.

Additionally, the Director of Reimbursement and Revenue will support all levels of medical billing as required.

POSITION DUTIES/ESSENTIAL FUNCTIONS:

The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive. Other duties may be required and assigned.

Leadership – Regularly reviews the organization’s reimbursement and revenue, policies and procedures, systems, and recording. Bringing recommendations to the Chief Financial Officer. Develops and uses financial data as appropriate to enhance Operations ability to meet goals. Strong focus on cash inflows as they pertain to reimbursement practices, payment timing, and billing procedures.

Plans, develops, organizes, implements, evaluates, and directs the organization’s reimbursement and revenue function under the guidance of the Chief Financial Officer.

Financial Deliverables – Prepare monthly account reconciliations and audit schedules. Process revenue entries and reporting. Furnishes timely conveyance of reports, remittances and/or filings associated Federal and State regulatory bodies, banking institutions, taxing authorities, bond administrators, etc., as required.

Prepare ad hoc financial management reports and dashboards as required for financial and operational reporting.

Administration – Analyze revenues, processes, and applicable contracts to ensure they are recorded and align with applicable financial policy and procedures. Assist with the preparation of Management Discussion and Analysis (MD&A) on a monthly basis.

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  Assist with cash management to ensure appropriate level of cash available to fund operating cash.
• Assist in documentation and monitoring of internal controls.
• Assist with financial and other audits.
• Assist with preparing tax returns and corporate reporting requirements.

Provide accounting and software training to other accounting and / or operational personnel. Assist with the implementation of consistent business practices to assure revenue accounting data integrity. Assists in standardizing the revenue accounting methods. Evaluates the accounting processes and procedures and makes recommendations to enhance efficiency of accounting revenue function given available resources. Assists in necessary implantation processes regarding revenue, billing, and coding for pending integrated and redesigned systems.

Responsible for the maintenance of the reimbursement and revenue systems utilized by the accounting department, including day to day maintenance and report design and development. Work in conjunction with the organization’s IT department and outside consultants as needed for maintenance and operation of the accounting and reporting software.

Assist in the annual budget process with operations. Lead and direct the work of others as required.

Perform additional activities and responsibilities as needed by the Chief Financial Officer.

POSITION REQUIREMENTS:

Educational Requirements and Experience:

• Minimum of Bachelor's Degree in Accounting or Finance – preferred.
  • Master’s degree in Accounting, Finance, or Business Administration – preferred.
    • Experience will be considered in lieu of degree.
• Minimum of 5 years’ experience of proven experience as a Director of Patients Accounts, or Director of Reimbursement, or similar role – required.
• Minimum of 5 years’ experience of hands-on revenue leadership experience – required.
• Minimum of 5 years’ experience in Long–Term Care, Skilled Nursing Elder Care, and Multi-Health System facilities – required.
• Minimum of 5 years’ experience possessing a broad knowledge and ability to review Medicare, Medicaid, Insurance, and Managed Care Contracts. – required.
• Experience building, designing and transitioning revenue systems – required.
• Proven ability to provide strategic financial analysis.
• Proven ability to demonstrate courage and challenge upward and outward.
• Highly organized with the capacity to manage work and priorities autonomously.
• Ability to manage a large medical billing system.
• Advanced knowledge of PowerPoint, Publisher, Excel, Word, Outlook Email and Calendar.
• Must be “hands-on”, roll up your sleeves, meet deadlines, and bring projects over the finish line for the organization to succeed.
• Must be self-reflective, open to feedback, and speak transparently.
• Must be able to have transportation to travel to multiple sites, events, and vendors.
• Ability to maintain sensitive information and confidential data.
• Alignment with The Overlook’s Guiding Principles.

PHYSICAL REQUIREMENTS/WORKING CONDITIONS:

Primary work will be performed indoors in an office setting, may be exposed to the elements (heat, cold, rain, snow); walking and standing frequently; occasional lifting of up to 35 pounds.

• Work indoors in a climate controlled setting.
• Possible exposure to unpleasant odors.
• Possible exposure to chemicals as identified in the MSDS Manual.
• Possible exposure to infections, diseases and blood borne pathogens.
• Possible exposure to residents who may be ill, confused, irritable and irrational.
• May be subject to angered and/or emotionally upset family members, personnel, and visitors.
• May work beyond normal working hours and on weekends and holidays when necessary.

COMMUNITY OVERVIEW:

The Overlook is a non-profit organization operating since 1911 and offering a full continuum of care and services for older adults in MA. The organization embraces its rich history and heritage, owning and managing 218 Independent Living Apartment Homes and Cottages, 28 Enhanced Care Private Suites, a 14- Suite Assisted Living Memory Care neighborhood, 27-unit Short-term Post-Acute Rehabilitation, 112-bed Long Term Care Skilled Nursing, as well as Home Health, Hospice, Palliative Care, Private Duty, and Care Management divisions.

The Overlook and its 3 subsidiaries are based in Charlton, MA, with satellite home health and hospice offices across the state. The organization employs approximately 600 talented and compassionate Team Members and serves 1,500+ Residents/Patients.

The Overlook has a Vision to design a mixed-use Community beyond its singular function as a Retirement Community, a pedestrian-friendly, walkable "Village Center" environment, with select retailers, restaurants featuring fresh, locally sourced food, a brewery, a large banquet, and events center, enriching programs, health and wellness-focused on mind, body and spirit, and more. The Overlook’s bucolic setting on 450 acres of beautiful New England countryside, 16 miles of nature trails, a dog park, and a wealth of amenities offer limitless possibilities in helping us reposition our Campus.

THE OVERLOOK WAY:

All Team Members of The Overlook must embrace and commit to conducting themselves at all times in support of our 28 Guiding Principles, Culture of Excellence, and core values, which form the foundation of our unique culture. The Overlook strives to exceed expectations, inspire and "Do what's best for those we serve."

• Integrity: saying what you mean, meaning what you say (in action and words), even if it hurts you personally or professionally.
• Respect for Individual Choice: empowering and supporting others in their Self-determination for health and well-being, as they define it.
• Compassion: understanding and empathy for others.
• Creativity/Innovation: thinking wildly, planning accordingly.
• Grace: putting people at ease, without compromising performance or outcomes

JUST SOME OF OUR BENEFITS AND PERKS:

In compliance with the Americans with Disabilities Act, The Overlook will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective Team Members and incumbents to discuss potential accommodations with the employer. The Overlook is strongly committed to diversity and a workplace environment that respects, appreciates, and values employee differences and similarities. By providing and supporting a work culture that fosters and builds upon diversity and its strengths, The Overlook will better serve our communities. The Overlook is an employment-at-will organization and an equal opportunity employer committed to maintaining a work and learning environment free from discrimination on the basis of sex, race, color, religion, national origin, pregnancy, gender identity, sexual orientation, marital/civil union status, ancestry, place of birth, age, citizenship status, veteran status, political affiliation, genetic information or disability, as defined and required by state and federal laws. Additionally, The Overlook prohibits retaliation against an applicant or employee because he or she has engaged in protected activity under the statutes prohibiting discrimination in the workplace.

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COMMUNITY OVERVIEW:

The Overlook is a non-profit organization operating since 1911 and offering a full continuum of care and services for older adults in MA. The organization embraces its rich history and heritage, owning and managing 218 Independent Living Apartment Homes and Cottages, 28 Enhanced Care Private Suites, a 14- Suite Assisted Living Memory Care neighborhood, 27-unit Short-term Post-Acute Rehabilitation, 112-bed Long Term Care Skilled Nursing, as well as Home Health, Hospice, Palliative Care, Private Duty and Care Management divisions.

The Overlook and its 3 subsidiaries are based in Charlton, MA, with satellite home health and hospice offices across the state. The organization employs approximately 600 talented and compassionate Team Members and serves 1,500+ Residents/Patients.

The Overlook has a Vision to design a mixed-use Community beyond its singular function as a Retirement Community, a pedestrian-friendly, walkable "Village Center" environment, with select retailers, restaurants featuring fresh, locally sourced food, a brewery, a large banquet, and events center, enriching programs, health and wellness-focused on mind, body and spirit, and more. The Overlook’s bucolic setting on 450 acres of beautiful New England countryside, 16 miles of nature trails, a dog park, and a wealth of amenities offer limitless possibilities in helping us reposition our Campus.

THE OVERLOOK WAY:

All Team Members of The Overlook must embrace and commit to conducting themselves at all times in support of our 28 Guiding Principles, Culture of Excellence, and core values, which form the foundation of our unique culture. The Overlook strives to exceed expectations, inspire and "Do what's best for those we serve."

Integrity: saying what you mean, meaning what you say (in action and words), even if it hurts you personally or professionally

Respect for Individual Choice: empowering and supporting others in their Self-determination for health and well-being, as they define it

Compassion: understanding and empathy for others

Creativity/Innovation: thinking wildly, planning accordingly

Grace: putting people at ease, without compromising performance or outcomes

JUST SOME OF OUR BENEFITS AND PERKS:

In compliance with the Americans with Disabilities Act, The Overlook will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective Team Members and incumbents to discuss potential accommodations with the employer. The Overlook is strongly committed to diversity and a workplace environment that respects, appreciates, and values employee differences and similarities. By providing and supporting a work culture that fosters and builds upon diversity and its strengths, The Overlook will better serve our communities. The Overlook is an employment-at-will organization and an equal opportunity employer committed to maintaining a work and learning environment free from discrimination on the basis of sex, race, color, religion, national origin, pregnancy, gender identity, sexual orientation, marital/civil union status, ancestry, place of birth, age, citizenship status, veteran status, political affiliation, genetic information or disability, as defined and required by state and federal laws. Additionally, The Overlook prohibits retaliation against an applicant or employee because he or she has engaged in protected activity under the statutes prohibiting discrimination in the workplace.

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