Controller - Sr. Accountant
15 days ago
Wheat Ridge
Job Description We are seeking an experienced Controller with a strong background in skilled nursing facility (SNF) finance to oversee all financial operations for our contracted buildings. The ideal candidate brings hands-on expertise in long-term care financial management, including Medicaid/Medicare billing and reimbursement, and thrives in a fast-paced, multi-facility healthcare environment. This is a critical leadership role requiring someone who can manage the full scope of accounting operations while supervising a small finance team. KEY RESPONSIBILITIES Financial Operations & Reporting • Prepare and analyze Profit & Loss (P&L) statements for each contracted building, • Generate, review, and manage aging reports to ensure timely collections and minimize outstanding balances • Oversee cash flow management for contracted buildings, including payroll processing, bill payments, accounts payable, and accounts receivable • Maintain accurate and current accounts receivable, accounts payable records, payroll records, petty cash accounts, and employee files • Prepare and maintain cost logs for Medicaid and Medicare reporting and reimbursement Billing & Reimbursement • Manage all aspects of resident billing, including rate calculations and adjustments, • Oversee billing operations across all payer sources: Medicare (MCR), Medicaid (MCD), Private Pay, VA, and commercial insurance • Navigate Medicaid and Medicare billing portals, ensuring accurate claim submission, follow-up, and compliance • Understand and apply payer-specific billing processes, reimbursement methodologies, and regulatory requirements Resident Trust & Compliance • Maintain accurate resident trust fund ledgers in compliance with state and federal regulations, • Ensure proper documentation and reconciliation of all trust fund transactions Team Supervision• Provide oversight and direction to indirect reports, including: • Accountant/CPA (1), • Accounts Receivable / Billers (1–2), • Accounts Payable Specialists (1–2) REQUIRED QUALIFICATIONS • Prior experience in a Skilled Nursing Facility (SNF) finance role is required, preferably in a corporate or multi-facility setting • Proficiency in QuickBooks Desktop Enterprise is REQUIRED (candidates will complete a QuickBooks assessment) • Demonstrated experience with Medicaid/Medicare billing, navigation, and reimbursement processes • Strong working knowledge of P&L management, aging reports, cash flow analysis, and cost reporting • Experience with resident billing calculations across multiple payer sources (MCR, MCD, Private Pay, VA, commercial insurance) • Solid understanding of accounts receivable, accounts payable, payroll, petty cash, and trust fund management • Strong analytical, organizational, and problem-solving skills, • Ability to work independently and manage multiple priorities across contracted facilities PREFERRED QUALIFICATIONS • CPA, CMA, or equivalent accounting certification, • Experience in a corporate healthcare finance or multi-site SNF environment, • Familiarity with state-specific Medicaid billing and reporting requirements for FL and/or CO