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Audit & Reimbursement Senior Remote

Company: Anthem
Location: Lubbock
Posted on: November 10, 2019

Job Description:

Audit & Reimbursement Senior Remote (PS28979)Location: United StatesRequisition #: PS28979Post Date: Oct 29, 2019Your Talent. Our Vision. At National Government Services (NGS) , an independent subsidiary of Anthem, Inc. and one of the largest Medicare contractors in the country,its a powerful combination. Its the foundation upon which were 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.Audit & Reimbursement Senior (PS28979)ResponsibilitiesResponsible for coordinating all activities of an audit or reimbursement team in the initiation and completion of assignments which includes acceptance, tentative settlements, interim rate reviews, completion of the desk audit review, field audit or in-house audit, and the settlement process of the CMS cost reports.Primary duties may include, but are not limited to:

  • Perform audit work on complex audits.
  • Evaluate the work performed by the audit staff to assess the technical accuracy and accuracy of work papers and financial data related to the cost report.
  • Review of wage index, MSP audits, complex exception requests and CMS change requests.
  • Assist the leads and managers in training and development of the staff on current CMS regulations.
  • Will support the Appeal Unit with appeal issues as assigned.
  • Participates in special projects and review of work done by lower level auditors as assign.
  • Analyzes and interprets data and makes recommendations for change based on their judgment and experience.
  • Must be able to perform all duties of lower level positions as directed by management. Provides oversight and leadership of the Part A provider enrollment function as needed.Anthem, Inc. is ranked as one of Americas 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 An Equal Opportunity Employer/Disability/Veteran.Requirements
    • Requires a BA/BS degree, preferably in accounting
    • Must have experience with Cost Report Appeals
    • 8+ years of audit/reimbursement or relatedMedicare experience; thorough knowledge of CMS program regulations and costreport format; excellent knowledge of CMS computer systems and Microsoft OfficeWord and Excel; or any combination of education and experience which wouldprovide an equivalent background. Must obtain Continuing Education Trainingrequirements. MBA, CPA, CIA or CFE preferred.
    • Demonstrated leadership experience preferred. Avalid driver's license and the ability to travel may be require

Keywords: Anthem, Lubbock , Audit & Reimbursement Senior Remote, Accounting, Auditing , Lubbock, Texas

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