Addresses key financial services needs of member hospitals focusing largely on hospital billing and reimbursement. Plans, organizes, directs and implements various projects that meet the financial services needs of member hospitals. Assists in developing positions and policies for the Association that benefit member hospitals.
Provides guidance and assistance to member hospitals with billing, reimbursement, and compliance issues for multiple payers, including Medicare, Medicaid, and commercial payers.
Maintains a professional relationship with payers to ensure billing, reimbursement and compliance issues are quickly resolved for member hospitals. This includes coordinating and providing support for various committees with payers and member hospital representatives to address specific financial issues.
Researches regulatory changes that would affect hospital reimbursement, billing and compliance, with primary focus being on governmental payers, including Medicare, Tricare and Medicaid.
Contributes written materials as needed to keep member executives and finance staff informed of important financial issues and current developments at the national/state/local levels. This would also entail making presentations at education and membership programs, and other meetings related to hospital financial topics of interest.
Assists in completing financial analyses to determine the impact of proposed regulatory changes. Analyses will be accumulated with other staff information to support the Association’s advocacy efforts. Also understands the operational impact of proposed legislation and coordinates with member hospitals.
Serves as Medicare Recovery Audit Contractor (RAC) Liaison for North Carolina, which includes leading all RAC activities between the Centers for Medicare and Medicaid Services, RAC Contractors, and NCHA member hospitals. Communications are generated and distributed on the progress of RAC activity and other updates to members.
Serves as Medicare Integrity Contractor (MIC) Liaison for North Carolina, which includes leading all MIC activities among CMS, MIC Contractors, and NCHA member hospitals. Communications are generated and distributed on the progress of MIC activity and other updates to members.
Performs other tasks and duties as may be assigned by senior leadership.
Works closely with the Vice President of Financial Policy in managing the various billing and reimbursement projects as needed by hospitals. Works closely with other NCHA staff in addressing ongoing payment reform options available to member hospitals.
Communicates frequently with staff of various governmental and non-governmental agencies, member hospitals, and related associations and advocacy groups.
Bachelors degree in business, accounting or equivalent degree. CPA or Masters degree in Business or Accounting, Healthcare Administration or related field preferred.
Excellent interpersonal, communication, and collaboration skills. Good problem-solving skills.
Ability to establish and maintain effective working relationships with co-workers, managers and clients.
Additional Salary Information: Salary negotiable based on experience, relationships, etc.
NCHA is a voluntary membership organization comprised of more than 130 hospitals and health systems providing acute care, rehabilitative, behavioral, psychiatric and veterans' services. Additionally, many hospitals and health systems provide access to wellness programs, primary care, urgent care, and freestanding emergency care. NCHA's mission is to promote delivery of quality and affordable heal...thcare in North Carolina through leadership, advocacy, information and education in its members' interest and for public benefit.
Formed in 1974, the Independent Bankers Association of Texas (IBAT) represents Texas community banks. The Austin-based group is the largest state community banking organization in the nation, with membership comprised of more than 2,000 banks and branches in 700 Texas communities. Providing safe and responsible financial services to all Texans, IBAT member bank assets range in size from $10 million to $20 billion with combined assets statewide of nearly $165 billion. IBAT member banks are committed to supporting and investing in their local communities.