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In May 2022, we proudly announced our new brand: ECU Health.

Rebranding changes continue to unfold on our Careers website as we update the Talent Acquisition portals housed within. Throughout this process and into the future we remain committed to the communities we proudly serve. We’re excited for what it means for the future of health care in eastern North Carolina and for the incredible team members who are helping to make it happen.

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Reimbursement Analyst

Job ID: 967814
Facility: ECU Health
Dept: Cost Reporting Accounts Review
Location: Greenville, NC
FT/PT: Full-Time
Shift: Not Applicable
Reg/Temp: Regular
Date Posted: Dec 26, 2023

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Job Description

ECU Health

About ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

Position Summary

1. Plans, organizes, develops and completes projects using analytical techniques for the entities of ECU Health Health (ECUH).

2. Prepares Medicare, Medicaid and Champus Cost Reports and related schedules for the entities of ECU Health in accordance with all applicable Federal and State Rules and Regulations.

3. Analyzes, develops and coordinates the proper recording of deductions from revenue for various ECUH entities.

4. Reads and interprets federal regulations for Medicare, Medicaid, Blue Cross, Champus. Utilizes knowledge of regulations to provide guidance on reimbursement issues to applicable entities or departments.

5. Works with auditors during Audits of Medicare and Medicaid Cost Reports.

6. Prepares and Analyzes various schedules for the entities of ECUH.

7. Other duties as assigned by Manager.

Responsibilities

1. Assures projects run smoothly.

Requests feedback to ensure department is meeting customer requirements.

Assigns, prioritizes, and coordinates projects. Provides directions and guidance to other analysts to ensure adequate project completion.

Demonstrates initiative in identifying opportunities for self-development and enhanced professional competency.


2. Prepares and timely files the annual cost reports for all the entities of VH.

Prepares supporting work papers for all cost report entities including but not limited to Wage Index, Expenses, Adjustments, Revenue, Statistics and Resident Rotation Schedules.

Explains any variances from actual to projected settlement amounts.


3. Prepares and Analyzes calculations and supporting schedules for VH entities Contractual Allowances in a timely and accurate manner.

Reviews and analyzes monthly Medicare and Medicaid balance sheet accounts for all entities to ensure for proper reserve levels in a timely and accurate manner.


4. Reads and interprets the Federal Register and other legislation for all third party payers.

Remains updated on changing regulations including but not limited to IP Final Rule, OP Final Rule, Outliers, Rehab Final Rule, Pysch Final Rule and changes relating to Cost Reporting.


5. Prepares documentation for annual audits of cost reports.

Supports VH positions to auditors.

Researches issues unresolved through the audit.


6. Understands rules and regulations surrounding the reporting of Uncompensated Care of VH.

Prepares and Analyzes Schedules to report Uncompensated Care and explains any variances from prior year or quarter.

Ensures all schedules are submitted to North Carolina Medicaid on a timely and accurate basis.

Works with the North Carolina Hospital Association relating to any questions or issues for Medicaid DSH.


7. Performs any special projects as assigned by Manager. Uses knowledge of reimbursement and regulatory issues in performing special projects.

Minimum Requirements

4 year college degree or higher in Accounting/Healthcare Admin/Finance, Business or related.

2 to 3 years experience working for CMS, other health care facilities in reimbursement related functions (preferably hospital) or Health Care Division of  an Auditing Firm.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Contact Information

For additional information, please contact:

Angie Nichols, Talent Acquisition Consultant

ECU Health Talent Acquisition

Email: [email protected]

   

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