Controller - Sr. Accountant

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