Inpatient Rehab Facility Bookkeeper

JOB TITLE

Inpatient Rehab Facility Bookkeeper

REPORTS TO

CFO

FLSA STATUS

Exempt

JOB OVERVIEW

At an inpatient rehab facility, a bookkeeper manages the facility's daily financial health while ensuring strict compliance with healthcare regulations like HIPAA. Their role is critical because they must navigate complex revenue cycles involving insurance reimbursements, government payments (Medicare/Medicaid), and patient responsibility. The Inpatient Rehab Facility Bookkeeper is responsible for the daily recording of financial transactions, managing accounts payable and receivable, and ensuring that all patient-related billing is accurately reflected in the general ledger. This role serves as a bridge between the administrative staff and the clinical teams to maintain the facility's financial stability.

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

Key Responsibilities

• Revenue Cycle Support: Track patient co-pays, deductibles, and insurance reimbursements. Coordinate with billing teams to reconcile actual payments received against billed claims.
• General Ledger Management: Record daily transactions including vendor invoices, facility expenses, and medical supply costs.
• Accounts Payable/Receivable: Manage payments to suppliers (e.g., medical equipment, utilities) and follow up on outstanding patient or insurance balances.
• Payroll Processing: Calculate and process wages for medical and administrative staff, ensuring compliance with tax laws and shift differential requirements.(Paychex)
• Compliance & Security: Maintain absolute confidentiality of patient information in accordance with HIPAA guidelines when handling financial documents.
• Financial Reporting: Prepare monthly balance sheets, income statements, and cash flow reports for facility management and the Chief Financial Officer.

Required Skills & Qualifications

• Experience: Minimum of 3-5 years in bookkeeping; experience specifically in a medical or inpatient setting is highly preferred.
• Software Proficiency: Advanced skills in QuickBooks Online, Microsoft Excel, and familiarity with healthcare billing or ERP systems.
• Knowledge: Deep understanding of basic accounting principles (GAAP).
• Education: High school diploma required; an Associate’s degree in Accounting or Business is strongly preferred.
• Soft Skills: Extreme attention to detail, strong analytical thinking, and the ability to communicate financial data clearly to non-financial staff.