• Revenue Management Specialist

    BayCare Health System (Clearwater, FL)


    BayCare is seeking a Revenue Management Specialist to join our dynamic Reimbursement team. In this role, you will assume a leadership position within your area of specialty, ensuring the integrity of financial reporting and compliance with CMS guidelines. You will play a key part in preparing cost reports, performing rate modeling, and leading audits that impact reimbursement strategies across BayCare’s healthcare facilities.

    What You’ll Do In the Role:

    + Prepare and analyze Medicare and Medicaid Cost Reports for multiple facilities to ensure compliance with CMS regulations.

    + Perform rate modeling for inpatient and outpatient services and collaborate with contracting teams to implement updates in the patient accounting system.

    + Lead audits for reimbursement areas such as S-10 Charity Care and Wage Index, ensuring accuracy and timely completion.

    + Participate in month-end close activities, including posting Medicare settlements and reconciling non-patient cash.

    + Act as a subject matter expert for reimbursement areas such as DSH, Home Office Cost Reports, and protested items.

    + Mentor interns and team members, providing guidance and optimizing workflow.

    + Collaborate with senior leadership and cross-functional teams to achieve Reimbursement Division goals.

    + Communicate regulatory changes and their impact to leadership and stakeholders.

    Qualifications:

    + Bachelor’s degree in Accounting, Finance, or a related field (Required).

    + CPA certification (Preferred).

    + **8 years of healthcare finance or reimbursement experience required.**

    + Strong analytical and problem-solving skills.

    + Proficiency in Microsoft Excel and financial reporting tools.

    + Excellent communication and leadership skills.

    **Location:** Clearwater, FL | Hybrid

    **Status:** Full-time | Exempt

    **Schedule:** Monday–Friday, 8:00 AM – 5:00 PM

    **Weekend Work:** None | On Call: No

    Equal Opportunity Employer Veterans/Disabled

    **Position** Revenue Management Specialist

    **Location** Clearwater:BayCare Sys Office West | Business and Administrative | Full Time

    **Req ID** 123245