Hybrid Controller bei Harlan County Health System

Harlan County Health System – Alma, NE

Are you a financial leader ready to make an impact in a rural healthcare setting? Harlan County Health System is seeking a Controller to oversee the daily operations of our Business Office and play a key role in ensuring accuracy, efficiency, and compliance across all financial functions. This is an exciting opportunity to work closely with senior leadership, receive mentorship from the CFO, and contribute to the financial strength and future of our hospital.

What You’ll Do

• Lead and direct the daily operations of Registration, Accounts Payable/Receivable, Financial Counseling, Prior Authorization, and Centralized Scheduling.
   
• Support and develop staff, fostering a culture of accountability, accuracy, and excellent customer service.
   
• Collaborate with the CFO to design, implement, and monitor financial systems, policies, and internal controls.
   
• Ensure timely and accurate financial reporting, month- and year-end closings, and Medicare cost reporting.
   
• Provide financial analysis, dashboards, and KPIs to guide leadership decisions.
   
• Assist with audits, reimbursement processes, and compliance with GAAP, federal, and state regulations.
   
• Identify process improvements and support system upgrades that enhance efficiency.
   
• Partner with leadership in budgeting, forecasting, and long-term financial planning.
   

What We’re Looking For

• Bachelor’s degree in Accounting, Finance, Business Administration, or related field (required).
   
• Master’s degree or CPA designation (preferred).
   
• Minimum 3 years of progressive accounting or financial management experience; healthcare or critical access hospital background strongly preferred.
   
• Proven leadership experience in revenue cycle or business office management.
   
• Strong understanding of healthcare finance, reimbursement, and billing regulations.
   
• Excellent communication, leadership, and problem-solving skills.
   
• Proficiency in financial systems, Excel, and accounting software.
   
• BLS certification within 6 months of hire.
   

Why Join Us?

At Harlan County Health System, you’ll be part of a mission-driven organization dedicated to delivering high-quality care while supporting the health of our community. As Controller, you’ll have the unique opportunity to grow professionally under the guidance of our CFO while shaping the future of financial services in a collaborative, supportive environment.

Apply Today
If you are ready to take the next step in your career and make a difference in rural healthcare, we’d love to hear from you. Submit your application and join a team where your work truly matters.

Position Summary:

The Controller is a key financial leader responsible for the daily operations of the Business Office, including Registration, Accounts Payable, Accounts Receivable, Financial Counseling, Prior Auth and Centralized Scheduling. This position ensures the integrity of financial data, supports revenue cycle functions, and drives efficiency and compliance in alignment with hospital goals. Reporting to the CFO, the Controller will work closely with senior leadership while receiving mentorship and guidance to expand financial and operational knowledge within the healthcare environment.

Essential Job Functions:

• Direct the daily operations and strategic workflow of the Business Office, including scheduling, registration, accounts receivable/payable, and financial counseling.
• Oversee and develop departmental staff, providing mentorship, support, and performance evaluation to ensure accuracy, compliance, and excellence in customer service.
• Collaborate with the CFO to develop, implement, and monitor financial systems, policies, and internal controls that ensure fiscal responsibility.
• Review and reconcile general ledger activity, ensuring timely month-end and year-end closings.
• Monitor financial data and produce accurate reports, dashboards, and key performance indicators for leadership use.
• Support the preparation of Medicare cost reports and assist with external audits and financial surveys.
• Identify process improvements and implement system upgrades or workflow changes that enhance efficiency and financial accuracy.
• Participate in the organization’s budgeting and forecasting processes in partnership with the CFO.
• Act as liaison between the finance department and other operational departments, ensuring smooth information flow and financial coordination.
• Ensure compliance with hospital policies, GAAP standards, and applicable federal/state regulations.
• Maintain up-to-date knowledge of changes in healthcare reimbursement, billing guidelines, and payer requirements.
• Foster a culture of accountability, transparency, and collaboration within the business office and across departments.

Qualifications:

Education and/or Experience:

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related field required.
• Master’s degree or CPA designation preferred.
• Minimum of 3 years of progressive accounting or financial management experience, preferably in a healthcare setting.
• Experience in a critical access hospital or rural health environment is strongly preferred.
• Demonstrated leadership experience in managing revenue cycle and business office teams.

BLS, within 6 months of hire

Skills and Abilities:

• Strong understanding of healthcare finance, billing regulations, and revenue cycle operations.
• Proficient in financial systems (e.g., EHR/EMR financial modules, Microsoft Excel, accounting software).
• Ability to interpret financial reports and data and communicate findings to stakeholders.
• High attention to detail and ability to manage multiple priorities in a fast-paced environment.
• Strong leadership and interpersonal skills with the ability to develop and motivate a team.
• Excellent communication and problem-solving abilities.
• Demonstrated ability to handle confidential information professionally and with discretion.

Supervisory Responsibilities:

Direct supervision of the following departments:

• Registration
• Accounts Payable/Receivable
• Financial Counseling
• Centralized Scheduling
• Prior Authorization

Administrative Roles (HR, Billing, Scheduling, etc.)

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Occasional standing, walking, bending, or reaching during filing or meetings.
• May occasionally lift or move office supplies or files up to 25 pounds.
• Requires visual acuity to read printed and electronic documents.
• Manual dexterity for typing, phone use, and operating standard office equipment.

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this position.