Database Specialist- Eddy Senior Care
Trinity Health•Troy, NY
•$22 - $36•Onsite
About The Position
We are seeking a detail-oriented and highly organized Database Analyst to support daily financial reporting, billing operations, and month-end close processes. This role is critical in ensuring accurate revenue recognition, claim tracking, accruals, and reconciliation across multiple healthcare revenue streams including Medicaid (MCD), Medicare (MCR), and other payer sources. The ideal candidate will have strong analytical skills, experience working with billing systems, and the ability to manage recurring deadlines in a fast-paced healthcare finance environment.
Requirements
- Bachelor’s degree in Finance, Accounting, or related field
- 2+ years of experience in healthcare finance, billing, or revenue cycle operations
- Advanced Excel skills (data manipulation, reconciliation, analysis)
- Strong attention to detail and ability to manage multiple deadlines
- Analytical thinking and problem-solving
- Strong organizational skills and attention to detail
- Ability to work independently and meet deadlines
- Effective communication and collaboration
- Process improvement mindset
Nice To Haves
- Experience with PDPM, LTC billing, or nursing home reimbursement
- Knowledge of accrual accounting and month-end close processes
- Familiarity with healthcare regulatory reporting (EDS/RAPS)
- Experience supporting audits or financial compliance processes
- Experience with financial systems and reporting tools (e.g., EPIC, PeopleSoft, Waystar)
- Strong understanding of Medicare and Medicaid billing processes
Responsibilities
- Prepare and distribute daily financial reports, including: Main Flash Report (Morning Minutes), EPIC dashboard reporting and utility reports, Finance Flash Report (eClaims, ER, OBS, IP activity).
- Maintain and update Nursing Home (NH) tracking files, including: Patient eligibility, LTC status, and spenddown tracking, PDPM (rehab days) calculations and reconciliation, Accrual tracking and general ledger coding.
- Process and reconcile payments: Upload Medicare (MCR) and Medicaid (MCD) payment files, Convert and process payment data from PDFs to Excel.
- Monitor and reconcile daily bank activity and cash logs.
- Execute month-end close activities, including: Accrual entries and reversals, Revenue reclassifications based on financial statements, Claims accrual tracking across multiple service lines.
- Prepare and post journal entries related to: Nursing Home (NH) accruals and reversals, Pharmacy (Pharmastar) fees and rebates, Hospice, dialysis, and agency-related accruals.
- Manage recurring accrual accounts and ensure proper GL coding.
- Support preparation of cost reporting data (e.g., PDPM, claim days).
- Maintain regulatory and internal reporting requirements (EDS, RAPS).
- Utilize Waystar for payer registration and payment verification.
- Review billing system exceptions (PCC fails) and unresolved claims.
- Process spenddown billing through PeopleSoft.
- Manage ePace billing for non-standard claims.
- Prepare and distribute Day 1 reporting and accrual summaries to internal stakeholders.
- Track and process disenrollment activity (LHCSA).
- Support audit-related activities and recurring accruals (e.g., UHY audit fees).
- Maintain PCI compliance for payment processing devices.
- Collaborate cross-functionally with finance, billing, and operational teams.
- Identify discrepancies and drive process improvements.
Benefits
- Opportunity to play a key role in financial operations and reporting
- Collaborative, mission-driven healthcare environment
- Exposure to complex reimbursement and billing systems
- Career growth within finance and revenue cycle leadership
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
