How You'll Help Transform Healthcare:
Perform third-party reimbursement services. Communicates with personnel of various departments. Confidential information: Has access to patient data through third-party payment logs and, Epic, salary information through Payroll, as needed. Works independently with limited supervision; uses independent judgement and discretion in making decisions within guidelines defined by Carilion leadership. Work is used in support/preparation of the monthly contractual allowance closings, filing of third-party cost reports and as supporting information in decision making by management. Develops estimates and reports that are significant to Carilion's financial statement accuracy and financial performance. Must provide own transportation and travel to other Carilion work sites.
- Prepare reimbursement templates; analyze and reconcile third-party accounts; prepare monthly closing and analyses; prepare information for General Accounting to enable management to make informed decisions. Design, review and maintain process for evaluation and estimation of contractual discounts and third-party liabilities. Approach all estimates with an eye towards continious process improvement; document approaches and rationale recognizing the criticality of accuracy.
- Gather data from multiple sources, conduct data analysis as required to complete Medicare and Medicaid cost reports and other required filings; prepare the cost reports.
- Review/prepare budgeted contractual adjustments.
- Work with third-party auditors and coordinate obtaining information requested by the auditors.
- Conduct reimbursement research.
- Provide third-party reimbursement support including providing information and analysis to Vice President- Accounting Services, Financial Advisory staff, Service Line managers, and personnel from other departments, as required.
- Conduct special projects.
- Provide information and analysis for tax filings.
- Assist in training new reimbursement staff and financial advisory staff in third-party reimbursement.
- Serve as information resource for Reimbursement Analyst and Financial Analyst.
What We Require:
Education: Bachelors degree in finance/accounting or in business administration with concentration in finance/accounting .
Experience: Minimum of five years of accounting, finance work experience with minimum of three years of current experience in reimbursement, preferably with a hospital/chain or third-party intermediary.
Licensure/Certification: Certified public accountant license preferred.
Other: Strong oral and written communication skills; analytical and personal computer skills including proficiency in use of word processing and spreadsheet software. About Carilion
This is Carilion Clinic ...
An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.
Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.
Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us. Requisition Number: 149737
Employment Status: Full time
Location: CASB - Carilion Administrative Services Building
Shift: Day
Shift Details: Regular Business Hours - Remote
Recruiter: MARK A MISKOVIC
Recruiter Phone:
Recruiter Email: mamiskovic@carilionclinic.org
For more information, contact the HR Service Center at 1-800-599-2537.
Equal Opportunity Employer
Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity
Carilion Clinic is a drug-free workplace.
Please see job description
PI260436209
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Carilion Clinic
Jan 22, 2025