Business Operations Specialist

4 weeks ago


Raleigh, North Carolina, United States WakeMed Full time
About WakeMed
Serving the community since 1961, WakeMed Health & Hospitals is a leading provider of health services in Wake County. Our mission is to improve the health and well-being of our community by delivering outstanding and compassionate care. For more information, visit our website.

Position Information:
The Business Analyst Reimbursement is responsible for auditing and analyzing accounts receivable reserves, gross revenue, and patient revenue deductions. This role manages reserve and contractual allowances calculations on a monthly basis and prepares corresponding journal entries. Additionally, the Business Analyst Reimbursement develops the net revenue budget for the organization and works closely with the Revenue Cycle team and Executive Director to analyze and evaluate net revenue. As a technical expert in system net revenue, this role maintains a comprehensive knowledge and understanding of the Crowe Horwath RCA software product. The Business Analyst Reimbursement also supports the preparation of the annual Medicare/Medicaid cost report compilation and filing by managing the overall cost report preparation for the Raleigh Hospital. Furthermore, this role assists in supplemental filings to the State and Federal governments and provides support on the Medicare and Medicaid cost report/reimbursement audits as well as the Financial Statement audits.

Experience Requirements:
3 Years of experience in Accounting/Finance, with a focus on Reimbursement, Accounting and Financial Reporting, Financial Analysis, and Government Health Plan Programs. 5 Years of experience in Reimbursement is preferred.

Education Requirements:
Bachelor's Degree in Accounting, Finance, Health Administration, or a related field is required. A Master's Degree is preferred.

Licensure/Certification Requirements:
Certified Public Accountant (CPA) is preferred.

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