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Assistant Dir of Acctg

Job in Creston, Union County, Iowa, 50801, USA
Listing for: Greater Regional Health
Full Time position
Listed on 2026-08-13
Job specializations:
  • Accounting
    Accounting Manager, Financial Compliance
Job Description & How to Apply Below

340B Program Finance Liaison

Major tasks, duties, and responsibilities:

  • Create/distribute/analyze all 340B program audits including Medicaid duplicate discount and patient eligibility
  • Ensure compliance with all 340B Program requirements
  • Monitor and audit Medicaid claims to ensure compliance to prevent potential duplicate discount rebates.
  • Formulate/implement resolution for any noncompliance discovered in audits
  • Develop and foster working relationships with internal working counterparts (IT, internal audit, results, accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance
  • Provide data, information, and reports as needed for other business units within the organization.

Revenue cycle initiatives:

  • Co-ordinates regular revenue cycle committee meetings, work groups and task forces
  • Maintain charge capture and charge reconciliation policies and procedures
  • Provides oversight of charge reconciliation and revenue monitoring responsibilities, including training and education.
  • Identify the root cause of missing charges. Coordinate with the clinical departments, coding, and other key stakeholders to address and resolve root cause charge capture issues
  • Maintains technical knowledge to support organization with questions related to charge capture and complex regulatory billing issues
  • Prepares monthly IHA Databank reports

Accounting duties:

  • Posts entries to ledgers and journals after reviewing for accuracy and compliance with established accounting procedures and policies from EPIC, Systoc, Speedscripts and any other necessary revenue/source journals
  • Manage Provider RVU incentive payments
  • Assists in preparation of audit and cost report work papers

Skills, education, and experience:

  • Bachelor's degree with accounting major required
  • Accounting experience preferred
  • Previous critical access hospital experience preferred
  • Management experience desired
  • Cost Report Experience preferred
  • Apexus and/or 340B Experience preferred
  • Strong MS Excel skills needed
  • Annual Infection Prevention education requirements as designated in IC#23 Infection Prevention Education Requirements

Supervision (Received and Given):

  • Direct supervision received from the Director of Accounting
  • Supervises all accounting functions & personnel in absence of Director of Accounting

Disclaimer:

Greater Regional has been named one of the Top 50 Workplaces in Iowa for the 8th year in a row, and one of the Top 100 Critical Access Hospitals in the nation for 7 years running. Greater Regional offers an outstanding benefits package to all full-time employees which includes IPERS, tuition reimbursement, wellness screenings, wellness reimbursements, and more. Patients have a choice in health care, they choose Greater Regional Health.

You have a choice in employment, choose Greater Regional Health!

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