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Assistant Director of Accounting

Greater Regional Health
Creston, IA Full Time
POSTED ON 9/17/2026
AVAILABLE BEFORE 1/15/2027

Major Tasks, Duties, and Responsibilities:

340B Program Finance Liaison for all 340B related matters

  • Create/distribute/analyze all 340B program audits including Medicaid duplicate discount and patient eligibility
  • Ensure compliance with all 340B Program requirements
  • Monitor and audit Medicaid claims to ensure compliance to prevent potential duplicate discount rebates.
  • Formulate/implement resolution for any noncompliance discovered in audits
  • Develop and foster working relationships with internal working counterparts (IT, internal audit, results, accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance
  • Provide data, information, and reports as needed for other business units within the organization.

Revenue Cycle initiatives

  • Co-ordinates regular revenue cycle committee meetings, work groups and task forces
  • Maintain charge capture and charge reconciliation policies and procedures
  • Provides oversight of charge reconciliation and revenue monitoring responsibilities, including training and education.
  • Identify the root cause of missing charges. Coordinate with the clinical departments, coding, and other key stakeholders to address and resolve root cause charge capture issues
  • Maintains technical knowledge to support organization with questions related to charge capture and complex regulatory billing issues
  • Prepares monthly IHA Databank reports

Accounting Duties

  • Posts entries to ledgers and journals after reviewing for accuracy and compliance with established accounting procedures and policies from EPIC, Systoc, Speedscripts and any other necessary revenue/source journals
  • Manage Provider RVU incentive payments
  • Assists in preparation of audit and cost report work papers

Skills, Education, and Experience

  • Bachelor’s degree with accounting major required
  • Accounting experience preferred
  • Previous critical access hospital experience preferred
  • Management experience desired
  • Cost Report Experience preferred
  • Apexus and/or 340B Experience preferred
  • Strong MS Excel skills needed
  • Annual Infection Prevention education requirements as designated in IC#23 Infection Prevention Education Requirements

Supervision (Received and Given)

  • Direct supervision received from the Director of Accounting
  • Supervises all accounting functions & personnel in absence of Director of Accounting

Disclaimer:

For the 8th year in a row, Greater Regional has been named one of the Top 50 Workplaces in Iowa, which we credit to our employees shared cultural values. We are also proud to announce Greater Regional is one of the Top 100 Critical Access Hospitals in the nation 7 years running. Greater Regional offers an outstanding benefits package to all full-time employees which includes IPERS, tuition reimbursement, wellness screenings, wellness reimbursements, and more. Patients have a choice in health care, they choose Greater Regional Health. You have a choice in employment, choose Greater Regional Health! Apply online or call Jade Wilbourne at 641-782-3679 if you have questions regarding your application.

***In order for current employees to be eligible to receive a referral bonus, the applicant cannot have worked at GRH previously and the applicant must include the full name of a current GRH employee on their UKG application in the blank provided. New hires must be hired for a regular, non-casual position to be eligible for bonus. New hires must not drop status for two years after hire for referring employee to get the full bonus. Managers will not be eligible if referring a new team member to their respective department.***

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Salary : $67,516 - $95,896

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