The Carmelite System, Inc.

Role Description This role oversees all aspects of fixed asset accounting, capital expenditure reporting, and capital planning for a multi-site long-term health care organization. Responsibilities include: - Accurate capitalization, depreciation, reconciliation, and reporting of property and equipment in compliance with GAAP, Medicare/Medicaid cost reporting requirements, and organizational policies. - Managing processes across multiple facilities. - Leading onboarding of new affiliate entities onto ERP Fixed Asset module. Qualifications - Bachelor’s degree in Accounting or Finance required. - Minimum of 5 years of progressive accounting experience. - Experience in health care accounting required; long-term care or skilled nursing strongly preferred. - Strong knowledge of GAAP related to fixed assets and depreciation. - Experience with Medicare/Medicaid cost reporting highly desirable. - Experience with Acumatica ERP system preferred. Requirements - Oversee full lifecycle of fixed assets, including acquisition, capitalization, depreciation, transfers, and disposals. - Ensure proper classification of capital vs. expense items in accordance with GAAP. - Maintain and reconcile the fixed asset subledger to the general ledger. - Manage construction-in-progress (CIP) accounting and project closeouts. - Coordinate and oversee periodic physical inventory of fixed assets across facilities. - Coordinate with facility preventative maintenance program to optimize capital spend and reduce emergency capital purchases. - Ensure compliance with U.S. GAAP and CMS reimbursement regulations. - Support preparation of Medicare and Medicaid cost reports related to capital assets and depreciation. - Assist with external audits, including preparation of fixed asset schedules and supporting documentation. - Develop and maintain capitalization policies and internal controls. - Review and approve capital expenditure requests based on operational performance and cash availability. - Partner with facility administrators and operations teams on capital planning by facilitating quarterly meetings to review capital purchases and upcoming capital projects. - Manage and further enhance five-year capital planning process. - Track capital budgets versus actual spending. - Provide reporting and analysis on capital investments and asset utilization. - Support Accounts Payable in the identification of potential capital purchases and appropriate general ledger coding. - Identify and implement process improvements and automation opportunities. - Ensure standardized procedures across all facilities. - Provide training to accounting and operations personnel on capitalization policies. Benefits - Competitive Compensation - Health (Aetna), Dental, Vision, HSA with employer contribution - Benefits available 1st of the month following 30 days - Flexible Spending Account - Fully paid Life and Long-Term Disability insurance - AFLAC and supplemental life insurances - Retirement Plan - Student Loan Forgiveness Guidance - Employee Assistance Program with Discount Marketplace - Generous Paid-Time-Off with 12 Holidays

Role Description We are seeking to hire a Billing Specialist I. This corporate level position is fully remote. Current Team members work in Eastern and Central Standard Time. Job Summary: - Prepare, review, and transmit claims using billing software. - Analyze explanation of benefits forms to review denial codes and make appropriate corrections. - Follow up on balances, unpaid claims, appeals & denials within the set timeframe. - Post payments and adjustments to accounts and maintain backup records. - Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Ensure proper records handling. - Input ancillary charges into the billing software in accordance with protocol. - File all charge, payment, adjustment batches, refund requests and write off requests in the appropriate format and location (PCC and shared drive). - Prepare and review claims for billing prior to triple check. - Attend and lead monthly triple check reviews. - Follow claims process from submission to clearinghouse and ensure acceptance at payer. - Process refunds to insurance companies in accordance with policy. - Monitor reimbursement from managed care networks and insurance carriers. This is a brief overview of job responsibilities and not intended to be all inclusive. Qualifications - High School diploma or equivalent. - Extensive knowledge of Medicare, Medicaid, managed care networks and insurance carriers required. - Extensive knowledge of accounts receivable functions including CPT and ICD-10 coding required. - Solid understanding of the current Medicare Compliance, OSHA, and HIPAA regulations and medical terminology required. - Strong basic mathematical skills required. - Understanding of Medicaid, Medicare, and Third Party Billing preferred. - PCC (Point Click Care) experience preferred. Benefits - Competitive Compensation - Health (Aetna), Dental, Vision, HSA with employer contribution - Student Loan Forgiveness Guidance - Flexible Spending Account - Fully paid Life and Long-Term Disability insurance - Benefits available 1st of the mo. following 30 days - Supplemental insurances - Retirement Plan - Employee Assistance Program with Discount Marketplace - Generous Paid-Time-Off with 11 Holidays Company Description The Carmelite System is a multi-state, not-for-profit senior living organization sponsored by the Carmelite Sisters for the Aged & Infirm operating a network of Skilled Nursing Facilities and Assisted Living/Independent Living communities. Please consider joining our team working where The Difference is Love℠! The Carmelite System, Inc. is an Equal Opportunity Employer and adheres to a policy that prohibits discrimination on the basis of race, color, sex, sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, veteran status, and any other legally protected class.