Audit & Reimbursement II- Appeals

Elevance Health is a health company dedicated to improving lives and communities, and they are seeking an Audit and Reimbursement II to support their Medicare Administrative Contract. The role involves analyzing data, preparing work papers, and participating in appeals related work under guided supervision, providing an opportunity to gain experience in auditing within the healthcare industry.ResponsibilitiesAnalyze and interprets data and makes recommendations for change based on their judgment and experiencePrepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirementsGain experience with applicable Federal Laws, regulations, policies and audit proceduresRespond timely and accurately to customer inquiriesAbility to multi- task while independently and effectively prioritizing work using time management, initiative, project management and problem-solving skillsAnalyze and interpret data per a provider's trial balance, financial statements, financial documents, or other related healthcare recordsPerform cost report reopeningsUnder guided supervision, participate in completing appeals related work:Position papersJurisdictional ReviewsMaintaining accurate records by updating all logs, case files, tracking systemsParticipate in all team meetings, staff meetings, and training sessionsSkillsRequires a BA/BS degree in Finance/Accounting/Business or any combination of education and related experience, which would provide an equivalent backgroundThis 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 yearsDegree in Accounting preferredKnowledge of CMS program regulations and cost report format preferredKnowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferredMBA, CPA or CIA preferredMust obtain Continuing Education Training requirements (where required)A valid driver's license and the ability to travel may be requiredBenefitsA comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contributionMerit increasesPaid holidaysPaid Time OffIncentive bonus programsMedical, dental, vision, short and long term disability benefits401(k) +matchStock purchase planLife insuranceWellness programsFinancial education resourcesCompany OverviewElevance Health 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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