Healthcare EDI Analyst, Sr. jobs in South Carolina

We are seeking an experienced Senior Financial Analyst I – Reimbursement specializing in healthcare reimbursement to join our esteemed finance team at Spartanburg Regional Healthcare System. This role offers a fulfilling and dynamic opportunity with job stability and avenues for professional growth.

Position Summary: The Senior Financial Analyst I - Reimbursement collaborates closely with team members to meticulously prepare Medicare and South Carolina Medicaid Cost Reports for all facilities within Spartanburg Regional Healthcare System. This includes Hospitals, Home Office, Nursing Homes, Rural Health Clinics, Home Health, Hospice, and Graduate Medical Education entities. The role involves collecting and analyzing data to construct comprehensive workpapers and staying abreast of current Centers for Medicare and Medicaid (CMS) and South Carolina Medicaid regulations. Additionally, the Senior Financial Analyst I - Reimbursement supports various audits (bad debts, DSH, S-10, cost reports, etc.) and undertakes special reimbursement-specific projects, collaborating across finance and operations teams to assess regulatory, operational, and financial implications.

Minimum Requirements:

• Education: Bachelor’s degree in Accounting, Finance, or a related field.
• Experience: Minimum of 5 years of relevant accounting experience.

Preferred Requirements:

• Preferred Education: Master’s degree in Accounting or a related field (Masters in Accountancy or MBA).
• Preferred Experience: 5 to 10 years of relevant healthcare reimbursement experience in roles such as medical auditor, provider reimbursement, consulting, or equivalent.
• Experience with Lawson, Strata, Crowe, and/or Power BI is advantageous.
• Preferred License/Registration/Certifications: CPA or related certification.

Core Job Responsibilities: This role encompasses various activities to support the reimbursement function, including:

• Preparation of Medicare and other Third-Party cost reports.
• Compliance with reporting requirements from Medicare, Medicaid, or other governmental agencies.
• Compilation of workpapers essential for cost reports and reimbursement reporting.
• Preparation of bad debt, DSH, S-10 reports.
• Assistance with reimbursement audits.
• Journal entry preparation and account reconciliations.
• Conducting financial impact analyses of reimbursement changes.
• Collaborating with departments to resolve reimbursement issues.
• Providing support to associates, department directors/managers.
• Other duties as assigned, ensuring compliance with Hospital policies and regulations.

Qualifications: Successful candidates must demonstrate:

• Proficiency in reading, analyzing, and interpreting business periodicals, journals, technical procedures, and governmental regulations.
• Strong mathematical skills including whole numbers, fractions, percentages, ratios, and proportions.
• Sound reasoning ability to define problems, collect data, and draw valid conclusions.
• Advanced proficiency in Microsoft Office applications, particularly Excel.

Join our dedicated healthcare finance team at Spartanburg Regional Healthcare System and contribute to our ongoing financial success. Apply now to seize this opportunity!