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Manager Cost Accounting-Reimbursement


Lancaster General Hospital

Cost Center

2070 General Accounting

Supervisory Organization

Finance Administration




POSITION SUMMARY:  Manages the Cost Accounting functions within the Hospital including direction of all aspects of the Decision Support System including the development of cost standards.  Directs completion of the Medicare and Medicaid Cost Reports and other governmental reimbursement analyses.  Develops price increase methodology and various reimbursement analyses.   Responsible for the patient volume/revenue budget for Lancaster General Hospital (LGH).   Performs supervisory functions over all assigned personnel.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

  • Management - Manages employees through recruitment and retention, performance evaluations and discipline, and time and attendance record approval.  Interviews, selects, hires, guides and monitors training within scope of responsibility.  Works to provide developmental opportunities and constructive feedback to achieve high performance from team members and ensure employee satisfaction.
  • Cost Standards – Supervises the development of cost standards and analysis of resulting cost data.  Indentifies priority departments or services needing standards maintenance.  Works closely with department managers and Cost Accounting team to translate business processes into appropriate costing methodologies and keep process moving for a timely completion.  Provides training to departments on standards development.  Coordinates knowledge among other Finance team leaders to identify changes impacting costing methodologies.
  • System Integrity – Directs all aspects of the Decision Support System.  Works with software vendor and hospital Information Services department during the installation, testing, converting or upgrading to all cost accounting applications.  Provides a plan to train staff and users as a result of any changes to software.  Works with hospital Information Services department to determine the effect of any feeder system changes on the integrity of cost accounting data and to troubleshoot issues and develop solutions. 
  • Medicare and Medicaid Cost Reports – Responsible for the timely and accurate completion of the Medicare and Medicaid Cost Reports for LGH and the Medicare Cost Reports for Affilia.    Ensures all cost reports are prepared within regulatory guidelines while also ensuring all reimbursement due as provided by the Federal and State regulations is obtained.  Responsible for various Medicare-related projects and appeals, rate validation, and Medicare/Medicaid audits.
  • Financial Analysis – Works with CFO, VP/Controller and VP Patient Financial to develop financial operational analyses for various programs and services. 
  • Pricing & Reimbursement – Develops and recommends to senior financial management pricing strategies to enable hospital to meet its financial objectives.  Works with Patient Financial Services leadership to ensure appropriateness of the hospital Chargemaster (CDM) and pricing of services/supplies, and performs various analyses of reimbursement.
  • Budgeting– Leads the preparation of the volume, revenue, and variable expense budgets for LGH.  Creates pricing methodology to implement for LGH budgets. 

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

  • Responsible for hospital statistical reporting and requests from outside agencies involving utilization information, surveys.
  • Prepares ad hoc financial studies as requested by executive management.
  • Other duties as assigned.



  • Bachelor’s degree in Business or Accounting.
  • Five (5) years cost accounting experience
  • Strong verbal and written communication skills
  • Strong interpersonal skills
  • Three (3) years analytical skills.


  • One (1) to three (3) years of management experience
  • Three (3) to  five (5) years experience in financial analysis
  • Three (3) to five (5) years budgeting experience


ATTENTION/CONCENTRATION – The following level of ability is essential for the jobholder to focus on certain aspects of current experience and reject others:

  • The position requires strong concentration skills.  The individual must have the ability to voluntarily sustain concentration to a task over an extended period of time as a result of an effortful and usually deliberate heightened and focused state of attention.

NEW LEARNING AND MEMORY – The following level of ability is essential for the jobholder to learn and retain material:

  • A large portion of this position required reliance on verbal memory and new learning.  Efficiency in processing of verbal information, either in written or spoken form, is a major requirement and prerequisite of the job.  The individual must be able to attend to and process multiple bits of information simultaneously.  The individual must be able to organize and categorize this information effectively so that later recall is feasible.

PROBLEM SOLVING, REASONING AND CREATIVE THINKING – The following level of ability that is essential for the jobholder to think (in order to solve a problem) by combining two or more elements from past experience or imaginative thought:

  • The position required much autonomy of thought and problem solving.  The individual must be able to apply principles of logical or scientific thinking to define problems.  The individual must be able to think abstractly, which is manifested in the ability to form concepts, use categories, generalize from single instances, apply procedural rules and general principles, and be aware of subtle or intrinsic aspects of a problem.  The development of hypothesis and potential solutions to problems involves careful interpretation, analysis and diagnosis.  The individual must be able to collect data, establish facts, and draw valid conclusions.  The individual must be able to think creatively with a degree of inventiveness, experimentation and intuition.  They must be able to deal with a variety of concrete and abstract variables.

APTITUDES:  The following are essential requirements of the position in relation to job-worker situations.  These items describe how a worker must adapt, adjust, conform or act:  

Leadership, control and planning: Ability to accept responsibility for leadership, direction, control, planning, negotiating, organizing, directing, supervising, formulating practices, or making final decisions.

Variety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations.

Communication:  Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information.

Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others.


Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office Supplies

Software: Microsoft Office Products, accounting, payroll, clinical information system


Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%

Body Position/Movement:  

  • Sit: Frequently
  • Stand: Rarely
  • Walk: Occasionally
  • Bend: Rarely
  • Push: Rarely
  • Pull: Rarely
  • Kneel/Squat: Rarely
  • Reach: Rarely
  • Twist: Rarely
  • Balance: Rarely
  • Climb: Rarely

Lifting: Degree of physical exertion is:

Light, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to move objects.

Sensory Abilities specifically required:

  • Vision
  • Hearing


WORKING CONDITIONS: Exposure to hazardous conditions/ materials is negligible.

Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job.  It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards.  The percentages of time spent performing job duties are estimates, and should not be considered absolute.  The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole.  Incumbent must be able to perform all job functions safely.

BURLE Full Time Posted on 08/14/2019