Accounting Manager

MICHAEL P. FRAIN, C.P.A. **********@*****.***

**** ******* **. ************, **. 19154 Home # 215-***-**** Cell # 215-***-****

Summary

Accounting Manager/Senior Auditor/Senior Accountant/Reimbursement Specialist with experience ranging from Supervision of Accounting Staff, Accts. Payable & Payroll. Senior Auditor in charge of third party audits. Preparation and review of monthly financial statements, account analysis, monthly work papers, monthly reporting to mortgage holders as pertaining to debt service coverage ratios, cash and payroll reconciliations. Assisted with the preparation of the annual budgets. Personally recovered over $2.5 Million in cost report reopenings, routine cost limit exceptions, and Provider Review Board appeals. Oversaw 3 accounting software conversions.

TECHNICAL SKILLS

Microsoft Office (Word, Excel, Windows, Outlook), Accounting Software – (Microsoft Great Plains, Health Business Systems, American Healthcare, Pointclick Care)

Excellent Written and Verbal Skills

Significant Accomplishments

• Recovered $615,000 in Medicare Cost Report Reopenings

• Filed Routine Cost Limit Exception Requests to Medicare resulting in Seniors receiving $970,000

• Revised Medicare Cost Reports, thru review prior to filing- $369,000

• Successfully appealed Intermediary decision to reclassify Workers Compensation costs to Employee Benefits cost center- $457,000. Case went to the Provider Reimbursement Review Board.

• Advised Operations as to the timing of opening new facilities; to take advantage of the three year exemption of the routine cost limit regulations.

• Assisted in restructuring contracts between the facilities and rehabilitation companies per Medicare regulations.

• Established cost report packages to collect supporting documentation, ensuring timely submission of cost reports.

• Established Time Study Allocation reports to maximize reimbursement.

• Reviewed Financial Statements with Nursing Home Administrators monthly.

Professional Experience

Seniors Management Inc., Cherry Hill, N. J. 080**-****-****

Accounting Manager/Reimbursement Specialist

• Responsible for the preparation and submission of Medicare Cost Reports for 14 Skilled Nursing Facilities.

• Updated Home Office and Facilities personnel on pertinent reimbursement issues.

• Liaison for State Medicaid Audits and Federal Government Audits.

• Supervised Accounting, Accounts Payables and Payroll Personnel.

• Responsible for the implementation of Accounting Policies and Procedures for the corporate office’s 14 skilled nursing facilities and 10 Real Estate Companies

• Reviewed and prepared financial statements and accounting work papers. Provided monthly analysis of financial results regarding significant variances.

• Prepared reports as per financing agreements; including Debt Service Coverage Ratios, Occupancy reports, Employment reports, Cash Flow Analysis and Operating Reserve Requirements.

• Coordinate year-end financial audits.

• Participated in three accounting software conversions.

Aetna Life and Casualty Ins. Co. /Medicare Fiscal Intermediary 1989-1994 Fort Washington, Pa. 19034

Senior Auditor/ Reimbursement Representative

• Supervised a team of auditors to perform audits and desk reviews of Medicare Cost Reports for Skilled Nursing Facilities, Physical, Speech, and Occupational Therapy Agencies.

• Audited Contractor’s reimbursable costs per Medicare Audit Program.

• Responsible for determining audits; ranging from detail transaction sampling and testing to evaluating and establishing audit scopes.

• Reviewed and established reimbursement rates and issued tentative and final settlements as a result of audit findings.

• Consultative liaison between providers and the fiscal intermediary.

Methodist Hospital/Methodist Hospital Nursing Center, Philadelphia, Pa. 1985-1989 Senior Accountant

• General accounting, budgeting and payroll for 120 bed Skilled Nursing Facility. Responsible for all general ledger input and monthly financial statements.

• Payroll processing, monthly analysis of general ledger accounts, accounts payable, supervision of 3rd party billing and collections; and filing of quarterly and annual payroll tax returns for federal, state and municipal governments.

• Prepared Medicare, Medicaid, and Blue Cross Cost Reports.

Zurbrugg Memorial Hospital, Riverside, N.J. 080**-****-****

Staff Accountant

• General accounting duties of hospital and hospital's subsidiary companies.

• Responsible for general ledger input, monthly financial statements, tax returns, monthly analysis of general ledger accounts, bank reconciliations and analysis of hospital investments.

Defense Personnel Support Center/Defense Contract Administration Services 1979-1984

Philadelphia, Pa. 19148

Accounting Technician/Accountant GS-5

• Matched Government Contractor’s invoices to payments generated.

• Verified acceptance of goods, quantities received, discounts taken, under terms of the contract.

• Reconcile progress payments to government contractors.

• Researching suspected overpayments/underpayments to contractors per terms of their contracts.

• File payment vouchers and invoices in the appropriate contractor’s file.

EDUCATION

Philadelphia College of Textiles and Science

(Philadelphia University)

Bachelor of Science Degree in Business Administration, Dean’s List

Major: Accounting

CERTIFICATIONS

Certified Public Accountant - Commonwealth of Pennsylvania

PROFESSIONAL MEMBERSHIPS

Pennsylvania Institute of Certified Public Accountants

American Institute of Certified Public Accountants

Healthcare Financial Management Association

Contact this candidate