To provide assistance to the Reimbursement Manager in maximizing third party reimbursement at CAMC.

Responsibilities

• Gives assistance in preparation of CAMC Medicare/Medicaid Cost Statement, Medicare Interim Review Reports, Reimbursement related surveys and/or questionnaires, HCCRA Financial Disclosure, and miscellaneous reports necessary for efficient management of third party reimbursement. • Prepares the Management Contracts, Medicare/Medicaid Cost Statements, Medicate Interim Rate Review, Reimbursement related surveys and/or questionnaire, HCCRA Financial Disclosure, and miscellaneous reports necessary for efficient management of third party reimbursement. • Assists the Budget and Cost Accounting areas of the department when necessary. • Prepares and submits hospital-based professional information to third party payers to obtain professional billing numbers. • Completes data entry of all input forms in connection with the Ernst & Whinney cost report preparation systems. • Contacts and obtains information form department heads in a tactful and efficient manner. • Makes reimbursement decisions under the guidance of the Reimbursement Manager and/or the Director of Reimbursement, Budget, and Cost Accounting. • Completes occasional projects assigned by the Executive Vice President for Finance and/or the Vice President for Finance. • Organizes his/her work in such a manner that all projects will be completed on a timely and accurate basis. • Acquires a more in-depth knowledge of Medicare and Medicaid law. • Maintains working relationships with personnel at CAMC, its subsidiaries and facilities under CAMC management contract, and external contacts.

Knowledge, Skills & Abilities

Patient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department’s identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients. Competency Statement Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist. Common Duties and Responsibilities (Essential duties common to all positions) 1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations. 3. Comply with the company's attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution. 5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations. 7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable. 9. Perform related duties as assigned.

Education

• Bachelor's Degree (Required) Education: Bachelor Degree Business Administration with concentration in Accounting Experience: 3 Years reimbursement experience in the hospital setting Substitution: 5 years in hospital accounting supporting reimbursement may substitute for 2 years hospital reimbursement experience.

Credentials

• No Certification, Competency or License Required

Work Schedule: Days

Status: Full Time Regular

Location: General Hospital

Location of Job: US:WV:Charleston