Facility Cape Fear Valley Medical Center Location Fayetteville, North Carolina Department Reimbursement Job Family Management Work Shift Days (United States of America) Summary Responsible for managing all third-party activities related to Medicare, Medicaid, and Tricare for Cape Fear Valley Health System (CFVHS) facilities. Major Job Functions The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time: Responsible for managing the legislative and regulatory requirements of the Medicare, Medicaid, and Tricare programs Manages the health system's reimbursement from Medicare, Medicaid, and Tricare programs Coordinates and assists in the timely and accurate completion of the Medicare, Medicaid, and Tricare cost reports including managing the procurement of requisite information such as program logs, financial and statistical data, physician and other required time studies and other related reports Coordinates any health system audits, reviews, certifications and informational requests conducted by the Medicare and/or Medicaid agencies or independent auditors Challenges adverse adjustments resulting from third-party audits Reviews changes in governmental regulations that impact the health system's reimbursement Monitors and controls the various third-party related activities and invoices of consultants/contractors Other duties as assigned Minimum Qualifications The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job: Education and Formal Training: Bachelor’s degree in Accounting or Finance required Master’s degree in Accounting or Business preferred Certified Public Accountant preferred Work Experience: 5 years’ experience in reimbursement and/or accounting in a hospital or healthcare setting required Knowledge, Skills, and Abilities Required: Extensive knowledge of hospital billing and accounting with the ability to analyze problems as well as devise and implement improved and effective methods and procedures Independent judgment, excellent interpersonal skills, and the ability to grasp new concepts quickly Effective communication with various levels of management Ability to demonstrate a thorough knowledge of computer functions Physical Requirements: Visually read reports and computer display terminals Manual dexterity to input data via a keyboard Mobility for the purpose of meeting with management at service areas throughout the facility May require extended periods of sedentary work and extended working hours to meet stated objectives Required Licenses and Certifications Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity For exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time. Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually. A private not-for-profit organization with over 7,000 employees and 850 physicians. Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond. Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as more than 60 medical offices and specialty care clinics spread throughout the Cape Fear region.