NGS Audit & Reimbursement III (PS28978)

NGS Audit & Reimbursement III (PS28978)

19 Oct 2024
California, Sanfrancisco 00000 Sanfrancisco USA

NGS Audit & Reimbursement III (PS28978)

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NGS Audit & Reimbursement III (PS28978)Location: United StatesNewRequisition #: PS28978Your Talent. Our Vision. At National Government Services (NGS) , an independent subsidiary of Anthem, Inc. and one of the largest Medicare contractors in the country,it’s a powerful combination. It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care .This is an exceptional opportunity to do innovative work that means more to you and those we serve.NGS Audit & Reimbursement IIIWork Location – NGS Locations: Indianapolis IN, Syracuse NY, Portland ME, Denison TX, Richmond VA; Remote may be availablePrimary Purpose: The Audit and Reimbursement Auditor III will support audit activities of healthcare providers’ financial and statistical records in accordance with Government Auditing Standards (GAS). The Auditor III will beresponsible for the auditing activities associated with performing audits and desk reviews of increasingly more difficult provider cost reportsas part of our Medicare Administrative Contract (MAC) with the Federal Government (The Centers for Medicare and Medicaid Services (CMS) branch of the Department of Health and Human Services). The auditor will receive training, participate in audit related workload, mentor, and have opportunities to participate on special projects.Primary duties may include, but are not limited to:Participate in completing the Uniform Desk Review/Audit Program on provider submitted Medicare cost reportsDocument findings, prepare detailed work papers and present audit adjustment reports in accordance with GAS and CMS requirementsAnalyze and interpret data per a provider’s trial balance, financial statements, financial documents or other related healthcare recordsStay abreast with applicable Federal Laws, regulations, policies and audit proceduresRespond timely and accurately to customer inquiriesPerform additional audit assignments as requestedAbility to use effective communication and interaction skillsAbility to multi- task while independently and effectively prioritizing work using time management, initiative, project management and problem-solving skillsMentor new and less experienced staffEvaluate the less complicated work performed by the audit staffAnthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/VeteranMinimum Skills and Competencies:The requirements listed below are representative of the knowledge, skill and/or ability requiredRequires a BA/BS degree (preferably inAccounting, Finance, Business Administration, or Healthcare Management) with 2-4 years of Medicare cost report experience, or 5-7 years of MAC audit/reimbursement experience or related Medicare cost report experienceDemonstrated understanding of accounting principles, auditing theories, or math concepts obtained through formal education and/or work related experienceMust possess effective verbal and written communication skillsExperience in Microsoft Office Word, Excel, and OutlookEffective organization and time management skillsEffective problem solving skillsExcellent interpersonal skills with the ability to establish working relationships with individuals at varying levels within the organizationMust be able and willing to travelThe skills/competencies listed below are preferred but not required: 5-7 years of Medicare audit/reimbursement or related Medicare experienceThorough knowledge ofMedicare Part A Laws, regulations, program manuals and audit policiesThorough knowledge of CMS computer systemsCertified Public Accountant (CPA) or Certified Internal Auditor (CIA) or CPA Eligible

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