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Keck Medicine of USC

Keck Medicine of USC is the University of Southern California’s medical enterprise, one of only two university-based medical systems in the Los Angeles area. Keck Medicine combines academic excellence, world-class research and state-of-the-art facilities to provide highly specialized care for some of the most acute patients in the country.

Our internationally renowned physicians and scientists provide world-class patient care at Keck Hospital of USC, USC Norris Cancer Hospital, USC Verdugo Hills Hospital, USC Arcadia Hospital and more than 100 unique clinics in Los Angeles, Orange, Kern, Tulare and Ventura counties.

Keck Medical Center of USC, which includes Keck Hospital and USC Norris Cancer Hospital, is among the top 50 hospitals in the country in eight specialties, as well as the top three hospitals in metro Los Angeles and top 10 hospitals in California, according to U.S. News & World Report’s 2022-23 Best Hospitals rankings.

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Accounting/Financial Manager - Accounting - Full Time 8 Hour Days (Exempt) (Non-Union)

Keck Medicine of USC Hospital Los Angeles, California

This position will perform and manage revenue accounting and analytic processes for Keck Hospital of USC and USC Norris Cancer Hospital and all other associated entities. He/she will be responsible for timely and accurate financial reporting of net revenues, contractual, bad debt expense, cost report reserves, and the valuation of accounts receivable while ensuring consistent application of reimbursement tools and methodologies.

Essential Duties:

  • Ensures accurate calculation of net revenues, contractual, bad debt expense, cost report reserves, and valuation of accounts receivable on a monthly basis within the close timeframe stipulated by the Associate CFO and/or CFO.
  • Ensures the integrity of the journal entries related to net revenues, contractual, bad debt expense, cost report reserves within the financial system.
  • Ensure accurate calculation and journal entry preparation of Medicare model adjustments.
  • Ensures timely and accurate completion of balance sheet account reconciliations relative to patient accounts receivable, contractual and bad debt reserves, and Medicare model/cost report settlement reserves.
  • Oversees the integrity of the base data used to calculate contractual and bad debt reserves, i.e. oversight of the zero-balance account (ZBA) studies.
  • Collaborates with the Revenue Cycle and Decision Support departments in ensuring the integrity of Contract Manager Tools including the validation of the mapping to the GL system.
  • Performs and investigates month-end close net revenue variance analysis including payer mix variance, rate variance, and volume variance analyses.
  • Assists in the preparation of the hospital net revenue budget.
  • Under the guidance of the Associate CFO and/or CFO, collaborate with Revenue Cycle and Decision Support teams in conducting review of detailed A/R account analyses to analyze problem accounts, underpayments, non-payments, aged balances, denials, and unusual write offs/adjustments.
  • Analyze reports provided by PFS (denials, underpayments, aged trial balance) to identify and manage payor issues, and implement business process improvements with other key functions including Admitting, PFS, Revenue Integrity, HIM, Case Management, and Managed Care to ensure effective and efficient processes for optimal revenue cycle outcomes. Attends revenue cycle related calls and meetings.
  • Assists with special projects relative to reimbursement and other net revenue initiatives and emerging revenue cycle issues such as process improvement, metrics development, and other initiatives impacting the revenue cycle. Develop analytical tools and management reports, including profitability models, financial indicator reports, and mandatory review checklists.
  • Coordinate the preparation of annual Medicare and Medicaid cost reports and OSHPD reports. Prepare the quarterly OSHPD reports
  • Ensures that the hospitals are in compliance with all internal policies and relevant regulations.
  • Perform other duties as assigned.

Required Qualifications:

  • Req Bachelor's degree Finance/Accounting, Business, or Economics related field
  • Req 3 years 3 to 5 years experience in accounting.
  • Req Strong GAAP accounting knowledge.
  • Req Specific knowledge of revenue accounting including calculation of contractual adjustments, bad debt reserves, cost report reserves, and other AR related calculations.
  • Req Exposure to Cost Report and OSHPD reporting.
  • Req Strong analytical and interpersonal skills with a collaborative, team-based approach required.
  • Req Ability to multi-task, work independently with minimal supervision, work under pressure, meet deadlines, and thrive in a fast-paced work environment.


Preferred Qualifications:

  • Pref 3 years 3 to 5 experience in Revenue accounting
  • Pref Certified Public Accountant - CPA

Required Licenses/Certifications:

  • Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

The annual base salary range for this position is $95,680.00 - $158,230.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.


REQ20148485 Posted Date: 05/01/2024

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