NGS Audit & Reimbursement II (Indianapolis IN, Syracuse NY, Portland ME, Denison TX, Richmond Va)-Ps19671

Anthem, Inc. Portland , ME 04101

Posted 2 weeks ago

The NGS Audit & Reimbursement II position is part of the Medicare Administrative Contract (MAC) with the Centers for Medicare and Medicaid Services (CMS). This position will support the Medicare part A Audit & Reimbursement department. This includes, but not limited to, processing provider submitted Medicare cost reports. The intent of this position is to support the Medicare cost report desk review and audit workload, however it requires the ability to support all functions within the Audit & Reimbursement department. These functions include but not limited to: Cost report acceptance, tentative settlements, rate reviews, desk reviews, audits, final settlements, re-openings, appeals and other compliance/reimbursement review.

Primary duties applicable to the Medicare cost report desk review and audit workload include, but are not limited to:

  • Review Medicare cost report desk reviews and audits

  • Perform both level 1 and Level 2 (supervisory review) as assigned, emphasis towards Level 1

  • Analyze and interpret data with recommendations based on judgment and experience

  • To provide effective communication with providers and team members

  • Must be able to perform all duties of lower level positions as directed by management

  • Participate on special projects as needed

Work Location NGS Locations: Indianapolis IN, Syracuse NY, Portland ME,

Denison TX, Richmond VA

  • Requires a BA/BS degree, preferably in accounting; 2-5 years of audit/reimbursement or related Medicare experience; thorough knowledge of CMS program regulations and cost report format; knowledge of CMS computer systems and Microsoft Office Word and Excel; or any combination of education and experience, which would provide an equivalent background.

  • 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.

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NGS Audit & Reimbursement II (Indianapolis IN Syracuse NY Portland ME Denison TX Richmond Va) Ps19567

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VIEW JOBS 4/9/2019 12:00:00 AM 2019-07-08T00:00 Your 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. The Audit & Reimbursement II position is part of the Medicare Administrative Contract (MAC) with the Centers for Medicare and Medicaid Services (CMS). This position will support the Medicare part A Audit & Reimbursement department. This includes, but not limited to, processing provider submitted Medicare cost reports. The intent of this position is to support the Medicare cost report desk review and audit workload, however it requires the ability to support all functions within the Audit & Reimbursement department. These functions include but not limited to: Cost report acceptance, tentative settlements, rate reviews, desk reviews, audits, final settlements, re-openings, appeals and other compliance/reimbursement review. Primary duties applicable to the Medicare cost report desk review and audit workload include, but are not limited to: * Review Medicare cost report desk reviews and audits * Perform both level 1 and Level 2 (supervisory review) as assigned, emphasis towards Level 1 * Analyze and interpret data with recommendations based on judgment and experience * To provide effective communication with providers and team members * Must be able to perform all duties of lower level positions as directed by management * Participate on special projects as needed Indianapolis IN, Syracuse NY, Portland ME, Denison TX, Richmond VA * Requires a BA/BS degree, preferably in accounting; 2-5 years of audit/reimbursement or related Medicare experience; thorough knowledge of CMS program regulations and cost report format; knowledge of CMS computer systems and Microsoft Office Word and Excel; or any combination of education and experience, which would provide an equivalent background. * 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. Anthem, 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/Veteran. Anthem, Inc. Portland ME

NGS Audit & Reimbursement II (Indianapolis IN, Syracuse NY, Portland ME, Denison TX, Richmond Va)-Ps19671

Anthem, Inc.