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Audit & Reimbursement III

Company: Anthem, Inc
Location: San Jose
Posted on: March 27, 2020

Job Description:

Audit & Reimbursement III - PS32776Location: United StatesRequisition #: PS32776Post Date: Mar 06, 2020Your Talent. Our Vision. At National Government Services (NGS) , an independent subsidiary of Anthem, Inc. andone of the largest Medicare contractors in the country, its a powerfulcombination. Its the foundation upon which were creating greateraccess to care for our members, greater value for our customers and greaterhealth for our communities. Join us and together we will drive thefuture of health care .This is an exceptionalopportunity to do innovative work that means more to you and those weserve.NGS Audit &Reimbursement Auditor IIIWork Location NGSLocations:Indianapolis IN,Syracuse NY,Portland ME,Richmond, VARemote may be consideredPrimary Purpose: The Audit and Reimbursement Auditor III,under guided supervision, will support audit activities of healthcareproviders financial and statistical records in accordance with GovernmentAuditing Standards (GAS). The Auditor II will gain experience on Medicare PartA Audit and Reimbursement as 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). Theauditor will receive training, participate in audit related workload, and haveopportunities to participate on special projects. This position provides avaluable opportunity to gain exposure in the healthcare reimbursement andfinancial industry.Primary duties may include, but are not limited to:

  • Underguided supervision, participate in completing the Uniform DeskReview/Audit Program on provider submitted Medicare cost reports
  • Documentfindings, prepare detailed work papers and present audit adjustmentreports in accordance with GAS and CMS requirements
  • Analyzeand interpret data per a providers trial balance, financial statements,financial documents or other related healthcare records
  • Gainexperience with applicable Federal Laws, regulations, policies and auditprocedures
  • Respondtimely and accurately to customer inquiries
  • Ability touse effective communication and interaction skills
  • Ability tomulti- task while independently and effectively prioritizing work usingtime management, initiative, project management and problem-solving skillsMinimum Skills and Competencies:The requirements listed below are representative of theknowledge, skill and/or ability required:
    • Requires a BA/BS degree(preferably in Accounting, Finance, Business Administration, or HealthcareManagement), or 2-5 years ofaudit/reimbursement experience or related Medicare cost report experience;or any combination of education and experience.
    • Demonstratedunderstanding of accounting principles, auditing theories, or mathconcepts obtained through formal education and/or work related experience
    • Mustpossess effective verbal and written communication skills
    • Experiencein Microsoft Office Word, Excel and Outlook
    • Effectiveorganization and time management skills
    • Effectiveproblem solving skills
    • Excellentinterpersonal skills with the ability to establish working relationshipswith individuals at varying levels within the organization
    • Ability totravel may be requiredThe skills/competencies listed below are preferred butnot required:
      • CertifiedPublic Accountant (CPA) or Certified Internal Auditor (CIA) or CPAEligible
      • Knowledgeof Medicare Part A Laws, regulations, program manuals and audit policies
      • Knowledgeof CMS computer systems
      • Knowledgeof the Medicare cost reportAnthem, Inc. is ranked as one of AmericasMost Admired Companies among health insurers by Fortune magazine and is a 2018DiversityInc magazine Top 50 Company for Diversity. To learn more about ourcompany and apply, please visit us at careers.antheminc.com. An Equal OpportunityEmployer/Disability/Veteran.

Keywords: Anthem, Inc, San Jose , Audit & Reimbursement III, Accounting, Auditing , San Jose, California

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