Full-Time
Senior Reimbursement Analyst
Posted on 9/19/2025
McLeod Health
1,001-5,000 employees
Regional not-for-profit healthcare system
No salary listed
Florence, SC, USA
Hybrid
 Accounting (1) |
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- Minimum of a Bachelor's degree in finance, accounting or related from an accredited school
- Government reimbursement audit experience and/or cost report consulting experience required
- Experience relating to 3rd party reserves, audit discrepancies, and regulatory filings
- Knowledge of Medicare/Medicaid laws and regulations; experience in cost report preparation, preferably in an acute care teaching environment
- Knowledgeable in pulling large amounts of data via information systems technology found within revenue cycle and finance
- Candidate should be savvy at Medicare and Medicaid cost reporting software
- Experience with Hospital Accounts Receivable billing platforms such as Invision, Cerner, EPIC and Crowe Revenue Cycle Analytics
- Experience with the Kaufman Hall Axiom Enterprise Performance Management platform utilized for the annual budget
- Strong Microsoft Excel knowledge and ability to manage complex database functionality
- Ability to juggle multiple assignments with multiple deadlines concurrently
- Maintain a professional image and exhibit excellent customer service to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values
- Assist in the preparation of the Medicare & Medicaid cost reports for all McLeod entities including hospitals, home office, rural health clinics, home health, hospice and other facilities as required
- Under the direction of the Manager of Reimbursement, the Senior Reimbursement Analyst is responsible for researching and interpreting regulations for proper compliance; developing and maintaining all documentation required to prepare accurate, timely cost reports that comply with all applicable regulations
- Prepare work-papers and identify opportunities to improve cost report accuracy and enhance the efficiency and effectiveness of the hospital reimbursement function
- Assist with the preparation of the SC annual DSH submission and proper 3rd party reserve reporting
- Working with consultants and/or third-party platforms, responsible for the preparation and completion of the Medicare Bad Debt Log which is an instrumental pass-thru reimbursement component of the Medicare cost report
- Working with consultants and/or third-party platforms, responsible for the preparation and completion of the Medicare DSH Log which is an instrumental pass-thru reimbursement component of the Medicare cost report
- Working with consultants and/or third-party platforms, responsible for the preparation and completion of the Medicare wage index information which includes wages, wage related costs, contract labor and other purchased services; wage index compilation is an integral element of the annual Medicare IPPS rate setting process
- Assist the Manager of Reimbursement with square footage/site reviews utilizing AerieHub software
- Assist with financial compilation and preparation of schedules/analysis required by the annual financial audit
- For success in this role it is imperative for this position to build and maintain relationships with revenue cycle key contacts, 3rd party vendors and CMS/MAC representatives.
- Responsible for preparing A/R reserve and third party liability balance sheet reconciliations schedules to support balances as it relates to the financial audit
- Under the direction of the Manager of Reimbursement, responds to Medicare and Medicaid cost report audits in a timely manner that is well researched and delivered
- Responsible for providing assistance to Hospital Administrators and other interested parties, Medicare and Medicaid enrollment/licensing requirements, census data and other pertinent statistics
- Under the direction of the Manager of Net Revenue, responsible for monthly close via the Crowe Revenue Cycle Analytics (RCA) software which includes maintaining rates, hindsight’s, ZBA’s in order to properly prepare reserve calculations for contractual, charity and bad debts
- Responsible and knowledgeable with the Lawson general ledger platform for running reports, entering journal entries and monitoring proper account balances
- Assist in the preparation of the annual revenue budget which requires a working knowledge of the Kaufman Hall Axiom EPM platform
- Assist the Administrator of the McLeod GME program in developing the necessary schedules/reports for the annual filing of the supplemental teaching program requirement
- Serve as a resource/trainer for the Reimbursement Analyst
- Other duties as requested of the Director of Reimbursement
- Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
- Maintains confidentiality and protects sensitive data at all times
- Adheres to organizational and department specific safety standards and guidelines
- Works collaboratively and supports efforts of team members
- Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff, and the broader health care community
McLeod Health operates a regional, not-for-profit health system serving Northeast South Carolina and Southeast North Carolina, with hospitals, urgent care sites, a cancer center, home health, hospice, behavioral health, and about 50 medical practices. Care is delivered through inpatient and outpatient services across its facilities, including the McLeod Center for Advanced Surgery with 30 operating rooms for a range of procedures. Unlike many competitors, it is locally owned and community-focused, offering a broad, integrated network rather than a for-profit chain. Its goal is to improve community health by expanding access to comprehensive, coordinated care using advanced facilities and services.
Company Size
1,001-5,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Florence, Alabama
Founded
1906
Simplify's Take
What believers are saying
- McLeod Health received $1.1 million federal funding for Dillon imaging upgrades.
- McLeod Health recruits physicians like Dr. Deji Okuboye in April 2026.
- McLeod Health celebrates 120 years in 2026 with community engagement.
What critics are saying
- Tidelands Health's $5 million funding builds women's center competing with McLeod Seacoast by 2028.
- Tidelands Carolina Bays Hospital captures pediatric cases from McLeod Loris in 24 months.
- McLeod's physician turnover and full panels drive patients to Tidelands in 6 months.
What makes McLeod Health unique
- McLeod Health operates 7 hospitals across South Carolina and North Carolina borders.
- McLeod Health earned Forbes Top Hospitals 2026 for Loris and Dillon facilities.
- McLeod Health achieved ISO 9001 certification in 2023 for quality management.
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Benefits
401(k) Retirement Plan
Paid Vacation
Company News
McLeod welcomes new primary care provider. Polly Lowman April 29, 2026 North Myrtle Beach Comments Off on McLeod welcomes new primary care provider McLeod Health welcomes Dr. Deji Okuboye to McLeod Primary Care North Myrtle Beach where she joins primary care physician, Dr. Donald Bartlett. Dr. Okuboye is a board-certified family medicine physician who provides comprehensive, patient-centered care at McLeod Primary Care North Myrtle Beach, located in North Myrtle Beach. Dr. Okuboye brings extensive experience from working in a high-volume family medicine setting, delivering personalized care to a diverse patient population. While Dr. Okuboye treats a wide range of medical conditions, her clinical interests include diabetes management, hypertension, stoke prevention, COPD and congestive heart failure. Dr. Okuboye graduated a Doctor of Osteopathic Medicine from Nova Southeastern University in Davie, Florida, and completed her residency training in Family Practice at Palmetto General Hospital in Hialeah, Florida. Dr. Okuboye is Board-Certified in American Osteopathic Board of Family Physicians. She joins McLeod Health after 18 years of practicing family medicine in Taylorsville, North Carolina. Inspired by a family of physicians, Dr. Okuboye knew from an early age that she wanted to pursue a career in medicine. "My parents would take me with them on their rounds," said Dr. Okuboye. "My nature, I'm an educator, so primary care is where I found my calling. I take a hands-on, comprehensive approach with my patients." Dr. Okuboye cares for patients ages 16 and older and is accepting new patients. For more information or to schedule an appointment, call 843-366-2900.
2 McLeod Health Clarendon nurses receive 2026 Palmetto Gold Award. Posted Sunday, March 29, 2026 6:00 am BY MCLEOD HEALTH McLeod Health is honored to announce eight McLeod nurses were selected to receive the 2026 Palmetto Gold Award. These nurses represent McLeod Regional Medical Center, McLeod Health Clarendon, McLeod Health Dillon and McLeod Health Seacoast. They join the ranks of the 250 previous McLeod nurses who have received this outstanding award. Two nurses from McLeod Health Clarendon were honored, Tracy Ganes, CRNA, and Katie Marlowe, RN. Nurses from other McLeod locations receiving the award were Laura Bolella, MSN, RN; Amber Jacobs, BSN, RN; Johnathan Moody, RN, WCC, OMS; Landon Simmons, MSN, RN; Rebecca Vincent, DNP, APRN, FNP-BC; and Lawanda Williams, RN. The Palmetto Gold Award was created by various nursing organizations throughout South Carolina as a platform to recognize nursing and support nursing education with scholarship funds. Each year, employers from a wide variety of South Carolina health care settings nominate outstanding nurses from their organizations to be considered as one of the 100 nurses honored with this prestigious award. The nominators are asked to provide evidence of how the nominee demonstrated excellence to the profession by addressing the following criteria: promoting and advancing the profession of nursing; displaying caring and commitment to patients, families, and colleagues; and demonstrating leadership by assisting others to grow and develop. This is a competitive process, and usually several hundred nominations are submitted with only 100 nurses being selected. Each year the competition for the Palmetto Gold Nurse Recognition Program is more stringent. To select the recipients, a team of six nurses from across the state participate in a blind review process. The nominees are not referred to by name or place of employment on the nomination sections seen by the judges. Discover more Demographics Education SPORTS Local News Movies City & Local Guides Geographic Reference Newspapers The recipients of the 2026 Palmetto Gold Award will be recognized at the Palmetto Gold Gala on April 11 in Columbia. To support the future of nursing, the proceeds from the Palmetto Gold Gala are used to provide scholarships to each registered nursing undergraduate program in South Carolina. In 2008, the Renatta Loquist Graduate Nursing Scholarship was created to honor Mrs. Loquist, a member of the original Palmetto Gold committee and a leader in nursing in its state. About McLeod Health Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 1,000 members on its medical staff and more than 3,800 licensed nurses McLeod Health is also composed of approximately 18,000 team members and more than 100 physician practice locations throughout its 18-county service area. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 945 licensed beds. The hospitals within McLeod Health include McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Carolina Forest, McLeod Health Cheraw and McLeod Health Clarendon.
Two McLeod Health hospitals make the Forbes' Top Hospitals 2026 List. McLEOD HEALTH DILLON 11 FEBRUARY 2026 Forbes has named McLeod Health Loris and McLeod Health Dillon to its inaugural Top Hospitals 2026 List. These two McLeod Hospitals support rural communities based on the mission and quality of McLeod Health and offer local care so patients do not have to travel for their healthcare needs. "This recognition would not have been possible without our teams who are dedicated to improving the quality of care we deliver to our patients and their families daily," said Dr. Caetie Rabon, Chief Quality Officer for McLeod Health. "We are committed to ongoing efforts toward quality improvements focusing on excellence in the delivery of healthcare to the communities we serve." Forbes developed the ratings to evaluate general acute care hospitals in the U.S. and to offer consumers unbiased information on which hospitals can offer top-notch, high-value medical services, no matter where they are in the country. The ratings were calculated with the help of healthcare measurement experts and data collected from the Centers for Medicare and Medicaid Services and Provider Data Catalog. Hospitals were evaluated based on healthcare quality measures that assess patient outcomes, hospital best practices, value, and patient experience. Approximately 5,400 general acute hospitals were initially eligible for consideration. Roughly 2,600 met the inclusion criteria. Of the hospitals evaluated, 259 hospitals received an overall rating of five stars, 520 received an overall rating of four stars, and 519 received an overall rating of three stars.
Tidelands, McLeod Health comment on federal funding given toward facilities. HORRY COUNTY, S.C. (WBTW) - A few hospitals along the Grand Strand and Pee Dee have received federal funding as part of a U.S. House appropriations bill passed on Tuesday. Tidelands Health received $5 million for the construction of its women's and children's center, while McLeod received $1.1 million for facility and equipment upgrades. Tidelands Health CEO Bruce Bailey said the hospital is pleased to have received the funding, as it will allow them to bring needed care to the community. Bailey said Tidelands identified better women's and children's health as a need in the community after South Carolina identified maternal-infant mortality and morbidity as a real problem in the state. Bailey said the center will include their OB practice and their pediatric practice, which will include pediatric subspecialities such as pediatric gastroenterology. The center will also offer maternal-fetal medicine specialists who provide pre, during, and postnatal care. "All the pediatric subspecialities that you'd have to go to Charleston for right now to the Shawn Jenkins Children's Hospital and their clinics, I want to bring those here," Bailey said. Bailey said Tidelands feels confident its new facility, being built off Highways 31 and 707, is a good location that will provide easier access to care in the Horry County community and even more rural neighboring communities. Bailey said this greater access to care will also be helpful in relieving stress for families - and more specifically - mothers. "If you're a mom and you've got three kids and one of them needs care in Charleston, and you've got to pull that off two or three times a month or a week, that's a lot," Bailey said. "So anything we can do to bring that care here is an objective." Bailey said overall, this facility will help make it easier for the community to get the care they need. "If you think about pediatric subspeciality care, you've got an infant, a small one that's got to go to Charleston once a week, twice a week, whatever," he said. "So, we can bring that care here through this center." McLeod Health also received federal funding in the amount of $1.1 million. McLeod chief financial officer and senior vice president, Christian Soura, said the money will go towards upgrades to the fluoroscopy room and new X-Ray and CT scanners at its hospital in Dillon. Soura said fluoroscopy shows what is happening inside the body in real time, unlike an x-ray, which shows what's happening at a frozen moment in time. Soura said these imaging upgrades are vital for patient care, as better technology means higher quality care that patients will no longer have to travel for. "For us, a big part of it was about access, was about ensuring that these services are still available in Dillon," he said. "And that people aren't asked to make trips that not only require transportation resources that they may or may not have, but it can take quite a bit of time out of your day, and if that means missing work, if it means missing school, there are other real-world implications of those if this kind of care is not available." Soura said the $1.1 million in federal funding will pay for a portion of the project, and once they know when the money will become available, it will help them determine a timeline for construction. As for Tidelands Health, the women's and children's center is expected to be completed towards the end of 2028, as part of the new Tidelands Health Carolina Bays Hospital campus. Morgan Baker is a multimedia journalist at News13. She is from Altoona, Pennsylvania, and joined the News13 team in December 2025. She graduate magma cum laude from Coastal Carolina University in May 2025. Keep up with Morgan on Facebook and X, formerly Twitter, You can read more of her work here.
McLeod Health Hospitals receive Zero Harm Clinical Awards. Congratulations to our teams for receiving 2025 Zero Harm Clinical Awards from the South Carolina Hospital Association (SCHA) for our commitment to eliminating medical errors and creating a culture of high reliability throughout our facilities by implementing robust, evidence-based practices that are making a positive impact on patients and the safety and quality of care. By pursuing a standard of Zero Harm, our hospitals continue to put patient safety first in our mission to provide world-class care to the patients and communities we serve. SCHA's Zero Harm Awards were launched in 2014 as an effort to recognize South Carolina hospitals that were on the forefront of preventing medical errors, which by some estimates is the third leading cause of death in the United States. The Certified Zero Harm Awards began with a core idea - that zero harm as a goal was possible in a highly reliable system - and began rewarding hospitals who went extended stretches free of hospital-acquired infections in common categories and procedures. This statewide effort was also unique, thanks to SCHA's collaboration with the South Carolina Department of Public Health (SCDPH), which independently verified the awards. Zero Harm awards received by McLeod Health Hospitals include: McLeod Health Cheraw - Hospital Onset C. diff; Hospital Onset MRSA; CLABSI: Hospital Wide McLeod Health Clarendon - Hospital Onset MRSA; Surgical Site Infection for Abdominal Hysterectomy, Colon Surgery, Knee Replacement and Hip Replacement; CLABSI: Hospital Wide McLeod Health Dillon - Surgical Site Infection for Knee Replacement and Hip Replacement; Hospital Onset C. diff; Hospital Onset MRSA; CLABSI: Hospital Wide McLeod Health Loris - Hospital Onset C. diff; CLABSI: Medical/Surgical McLeod Health Seacoast - Surgical Site Infection for Abdominal Hysterectomy; CLABSI: Medical/Surgical Critical Care, Adult Step Down Unit McLeod Regional Medical Center - Surgical Site Infection for Hip Replacement; CLABSI: Oncology, Cardiac, Neuroscience Care Unit, Pediatrics, Neurology, Orthopedics, Card Surgery, Medical 1, CCU, TSCU, Progressive Transitional Care Unit, PICU