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Reimbursement Accountant job in San Juan Capistrano at Ensign Services

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Reimbursement Accountant at Ensign Services

Reimbursement Accountant

Ensign Services San Juan Capistrano, CA Full Time
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Ensign Services, Inc. is seeking a Reimbursement Accountant to join our growing team of resource supports!

About the Company:

Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast growing post-acute care industry. ESI provides service and support to over 230 facilities in the long term care continuum that employ over 30,000 employees.

ESI is known as the “Service Center” and it provides the facilities and leaders it serves with necessary “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, legal, risk management, and learning management. This structure allows on-site leaders and caregivers to focus squarely on day-to-day care and business issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people. We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (CAPLICO) seriously and strive to provide a work experience that proves it!


  • Gain exposure into various State reimbursement methodologies and provide analytics and trend data that serve as the basis for improved accounting and operational processes.

  • Prepare Medicare and Medicaid cost reports and related documentation, lead on audit requests and reviews with State reimbursement agencies

  • Review of Medicaid audit reports/settlements, argument development and filing of timely appeals.

  • Assist operations and accounting team in understanding the impact of current expenses on future rate modeling, as well as

  • Prepare general ledger entries associated with Medicaid rate accruals and state programs, to ensure completeness and accuracy of the financial results for month-end close.

  • Generate and review operating statements, compare actual results to historical trends and investigate and explain variances.

  • Keep up-to-date on Medicare and Medicaid regulations and communicate with all levels of the service center, regional and facility personnel.


  • Bachelor’s degree in accounting or finance

  • 2+ years of relevant experience in accounting, prefer prior cost reporting experience in Long Term Care, Home Health or Hospital

  • Prior work in Audit and/or Tax is a plus

  • Must have strong Excel skills, experience in Workday and Great Plains a plus

  • Must be a strong team player and leader, highly motivated and able to work under pressure during peak periods

  • Detail oriented, organization skills and ability to prioritize

  • Strong communication skills

Additional Information: 

This full-time, exempt position will be based at the Service Center in San Juan Capistrano, California.

We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. Additionally, enjoy access to our fully equipped onsite gym (San Juan Capistrano office location). We also believe in supporting our employee’s professional growth and development through our Learning Management System as well as training sessions and seminars.

Ensign Services, Inc. is an Equal Opportunity Employer.

The employer for this position is stated in the job posting. Ensign Services, Inc. provides recruiting services for operations in the skilled nursing, assisted living, home health and hospice industries.

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Job Snapshot

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San Juan Capistrano, CA

Job Type

Health Care, Nurse


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