Consultant | Healthcare Reimbursement & Regulatory Compliance | Provider Based Services

Description & Requirements

As a Consultant within FORVIS' Healthcare Reimbursement & Regulatory Compliance, you will be working with the firm's healthcare executive leadership team in the continued growth of the firm's Provider-Based Regulatory capabilities. In addition, you will be working with a highly collaborative team that is solely dedicated to the healthcare industry. This position is fully remote with the ability to travel nationally. **

How You Will Contribute**

• Assist with Financial/Reimbursement assessments to determine reimbursement opportunities for on-campus and off-campus provider-based departments as well as freestanding and provider-based Rural Health clinics.

  • Responsible for the financial analysis proactive calculations and modeling of new regulatory changes and impacts

  • Assist with PowerPoint presentation reports

• Assist with developing provider-based strategy, gap assessments, and transition advisory processes.

  • Expertise in CMS Provider-Based Clinic regulations and Federal and State regulations

  • Provide guidance to clients regarding provider-based departments.

  • Operational Assistance

  • Split-billing (technical/professional)

  • Chargemaster requirements

  • Compliance with provider-based rule requirements

  • CMS Checklists

    • Assimilate provider-based checklists (attestations)

• Assist with transitions to Rural Health Clinic (RHC) or Provider Based RHC

  • Policy and Procedure Development

  • Survey readiness assistance

  • Prepare Medicare RHC cost reporting schedules.

  • Calculating RHC visits

  • Calculating FTEs for productivity

• Advise, communicate, and present to all levels including C-suite, management, and clinic staff.

• Become proficient in provider-based (42 CFR 413.65) and RHC regulations and stay abreast of ongoing legislative changes.

• Provide in-depth provider-based processes, regulatory knowledge and leadership to clients.

• Provide an unmatched client experience and identify additional value-added services

• Active participant in specific healthcare industry groups (Becker's, NRHA, HFMA, etc.)

We Are Looking For People With Forward Vision And

• Strong analytical and communication skills

• Ability to deliver work products consistently and with high-quality.

• Demonstrated ability to think independently and train other team members as needed.

• Ability to travel up to 50%, depending on client commitments.

• Highly motivated and self-driven to exceed client needs and timelines.

Minimum Qualifications

• Bachelor's degree in business, accounting, health services administration, or a related field

• Significant experience in advanced Excel, IT platforms, and healthcare

• Strong technical skills, experience with spreadsheets, databases, and an automated audit work paper system

• Experience with project management

Preferred Qualifications

• Experience in the following areas:

  • Healthcare provider-based billing

  • Provider-based attestation compliance and submission to Medicare

  • Medicare/Medicaid Hospital cost reporting

  • Practice operational knowledge in provider-based physician practices, or RHCs.

Colorado's Equal Pay for Equal Work Act (SB 19-085)

Pursuant to Colorado's Equal Pay for Equal Work Act, the salary range displayed is for the Colorado market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. FORVIS reserves the right to make changes to the salary range based on business needs. **

Colorado Salary Range**

CO Minimum Salary (USD)

$ 55,000

CO Maximum Salary (USD)

$ 82,500 **

New York City Pay Transparency**

Pursuant to the pay transparency laws of New York State and other local ordinances within the state including (but not limited to) New York City, the salary range displayed is for the New York markets. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. FORVIS reserves the right to make changes to the salary range based on business needs. **

New York Salary Range**

NY Minimum Salary (USD)

$ 68,500

NY Maximum Salary (USD)

$ 95,000 **

California Pay Transparency**

Pursuant to the pay transparency laws of California, the salary range displayed is for the California market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. FORVIS reserves the right to make changes to the salary range based on business needs. **

California Salary Range**

CA Minimum Salary (USD)

$ 68,500

CA Maximum Salary (USD)

$ 114,000