Serving the community since 1961, WakeMed Health & Hospitals is a nationally recognized, private, not-for-profit health care organization founded and based in Raleigh, N.C. The largest health system in Wake County, WakeMed exists to improve the health and well-being of our community by providing outstanding, compassionate, patient- and family-centered care to all. The 919-bed system comprises a network of facilities throughout the Triangle area, delivering health and wellness services that bring added value to the communities we serve. WakeMed is a leader in cardiac and vascular care, women's and children's services, emergency medicine and trauma care, physical rehabilitation, orthopaedics and neurosciences. Specialty facilities include the WakeMed Heart Center, Children's Hospital, Women's Pavilion and Birthplace, Rehabilitation Hospital, Adult and Children's Emergency Departments and a Level 1 Trauma Center. WakeMed's team of more than 9,400 employees, 2,000 volunteers, 1,300 affiliated physicians, and the more than 300 physicians employed by WakeMed Physician Practices use the most advanced technologies along with the best minds and the biggest hearts to ensure the finest quality in health care and community health. For more information, visit www.wakemed.org.
As an Equal Opportunity Employer, WakeMed provides an inclusive work environment that
promotes the valuing of differences, respect for people and cooperativeness among our diverse
workforce. WakeMed does not discriminate against any employee or applicant in any terms or
conditions of employment. All applicants/employees are considered for employment, transfer,
promotion or training without regard to race, religion, color, gender, gender identity/expression,
genetics, sexual orientation, age, pregnancy, national origin, disability or veteran status.
The Financial Specialist is responsible for the reviewing and validating over and under payments identified within EPIC contract management system as it relates to Managed Care and commercial payor accounts. The specialist is involved with the data gathering, financial modeling and creating ad hoc financial reports using multiple database systems for the Managed Care department. The financial models and reports will be used for the contract negotiations, auditing purposes, and validating claim payments to help assist senior level leadership in the decision making process.
2 Years Accounting/Finance - Collections And 1 Year Accounting/Finance - Third Party Payors And 2 Years Healthcare Required - And Managed Care Contracting And Medical Insurance Plans Preferred
Bachelor's Degree Finance Or Business Administration With College Courses Accounting Required - And Medical Terminology Preferred
EPIC Certification in Area of Responsibility Preferred
Hours of Work:
Mon - Fri