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Senior Healthcare Reimbursement Consultant
Baker Tilly US. Prepare and review Medicare and Medicaid cost reports for hospitals and other healthcare providers .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicare and Medicaid cost reporting, financial analysis, and reimbursement methodologies, with a strong ability to manage client engagements and deliver high-quality results under tight deadlines. Proficient in analyzing healthcare reimbursement data and developing actionable insights while maintaining compliance with regulatory standards.
Highest-signal resume keywords
Medicare Cost ReportingMedicaid Cost ReportingHealthcare Reimbursement RegulationsFinancial AnalysisMicrosoft Excel
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Cost Report AnalysisReimbursement MethodologiesFinancial Statement ReconciliationData AnalysisProject Management
Soft Skills
Analytical SkillsProblem-Solving SkillsOrganizational SkillsCommunication SkillsTeam Collaboration
Tools & Technologies
Microsoft OfficeHealthcare Reimbursement Software
Industry Keywords
CMS RegulationsHealthcare FinanceClient EngagementRegulatory ComplianceHealthcare Consulting
About the role
Key responsibilities & impact- Prepare and review Medicare and Medicaid cost reports for hospitals and other healthcare providers
- Analyze financial, statistical, reimbursement, and operational data supporting cost report filings
- Apply Medicare and Medicaid reimbursement regulations, CMS requirements, and state-specific reimbursement methodologies
- Analyze cost report data and reimbursement results to identify trends, inconsistencies, reimbursement opportunities, compliance considerations, and areas requiring investigation
- Reconcile cost report data to financial statements, general ledger information, patient statistics, and supporting documentation
- Independently manage significant portions of client engagements, including gathering information, performing analyses, documenting conclusions, and meeting deadlines
- Prepare and review specialized reimbursement analyses and projects, including wage index, occupational mix, IME/GME, provider-based services, and special hospital designations
- Assist clients with MAC, state Medicaid agency, and other regulatory requests
- Develop workpapers, analyses, client deliverables, and documentation supporting reimbursement positions and conclusions
- Communicate with client finance, reimbursement, and accounting personnel to obtain information, resolve questions, and communicate project status and findings
- Identify reimbursement opportunities and risks and communicate observations and recommendations
- 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 guidance, technical support, and review assistance to Consultants and junior team members
- Improve cost reporting processes, analytical tools, templates, and engagement methodologies
- Stay current on CMS regulations, Medicare and Medicaid reimbursement requirements, and healthcare industry developments
- Maintain quality, professionalism, confidentiality, and client service standards
Requirements
What you’ll need- 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 regulatory cost reporting
- Ability to analyze healthcare reimbursement and cost report data and develop observations and recommendations
- Strong Microsoft Excel skills and proficiency with Microsoft Office
- 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 ability to communicate technical reimbursement concepts clearly
- Ability to develop effective client relationships and collaborate across engagement teams
- Ability and willingness to coach and support junior team members
- Ability to learn new regulations, reimbursement methodologies, technology platforms, and processes quickly
- Commitment to continuous professional development and knowledge sharing
- Preferred: experience with Medicare/Medicaid cost reporting or healthcare reimbursement software
- Preferred: experience with CMS Form 2552-10, wage index, occupational mix, IME/GME, provider-based departments, special hospital classifications, MACs, state Medicaid agencies, or healthcare reimbursement authorities
- Preferred: experience in healthcare consulting, public accounting, hospital reimbursement, or health system finance
- Preferred: advanced Excel and healthcare data-analysis capabilities
Benefits
Comp & perks- Career growth opportunities
- Flexibility in how and where you work
- Meaningful relationships with clients, colleagues, and leaders invested in professional development
- Compensation and benefits package for eligible employees