Database Specialist- Eddy Senior Care

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.

Key Responsibilities Daily Operations

• Prepare and distribute daily financial reports, including:

• Main Flash Report (Morning Minutes)

• EPIC dashboard reporting and utility reports

• 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

Additional Responsibilities

• 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

• 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

Preferred Qualifications

• 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

Key Competencies

• 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

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran