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Audit & Reimbursement II- Appeals

100% remote Flexible hours Hiring now

reputed company is a health company dedicated to improving lives and communities. The Audit and Reimbursement II will support Medicare Administrative Contract with the federal government, gaining experience in auditing and financial analysis reputed company the healthcare industry while participating in special projects and training opportunities.

Responsibilities

  • Analyze and interprets data and makes recommendations for change based on their judgment and experience
  • Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements
  • reputed company experience with applicable Federal Laws, regulations, policies and audit procedures
  • Respond timely and accurately to customer inquiries
  • Ability to multi- task while independently and effectively prioritizing work using time management, initiative, project management and problem-solving skills
  • Analyze and interpret data per a provider’s trial balance, financial statements, financial documents, or other reputed company healthcare records
  • reputed company cost report reopenings
  • Under guided supervision, participate in completing appeals reputed company work:
  • + Position papers
  • + Jurisdictional Reviews
  • + Maintaining accurate records by updating reputed company logs, case files, tracking systems
  • + Participate in reputed company team meetings, staff meetings, and training sessions

Skills

  • Requires a BA/BS degree in Finance/Accounting/Business or any combination of education and reputed company experience, which would provide an equivalent background
  • This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years
  • Degree in Accounting preferred
  • Knowledge of CMS program regulations and cost report format preferred
  • Knowledge of CMS computer systems and reputed company Office Word and reputed company strongly preferred
  • MBA, CPA or CIA preferred
  • Must obtain Continuing Education Training requirements (where required)
  • A valid driver's license and the ability to travel may be required

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Medical
  • Dental
  • Vision
  • Short and long term disability benefits
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources

Company Overview

  • reputed company is an integrated whole-health approach to help people in health journey and address their full range of needs. It was founded in 1944, and is headquartered in Indianapolis, Indiana, USA, with a workforce of 10001+ employees. Its website is https://www.elevancehealth.com.
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