PlacentiaRecruiter Since 2001
the smart solution for Placentia jobs

Audit & Reimbursement II or III

Company: Anthem, Inc
Location: Placentia
Posted on: March 11, 2020

Job Description:

Audit & Reimbursement II or III - PS33300Location: United StatesRequisition #: PS33300Post Date: Jan 31, 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.Audit & Reimbursement II orIII PS33300.Location: Any NGS office or May consider Work athomeThis position is part ofthe Medicare Administrative Contract (MAC) with the Centers for Medicare andMedicaid Services (CMS). This position will support the Medicare part A Audit& Reimbursement department. This includes, but not limited to, processingprovider submitted Medicare cost reports. The intent of this position is tosupport the Medicare cost report reopening workload, however it requires theability to support all functions within the Audit & Reimbursementdepartment. These functions include but not limited to: Cost report acceptance,tentative settlements, rate reviews, desk reviews, audits, final settlements,reopenings, appeals and other compliance/reimbursement review.

  • Responsiblefor completing Cost Report Reopenings for all provider types, mostlyhospitals (including Critical Access) and SNFs.
  • Must haveexperience with Medicare Bad Debt reviews and Disproportionate ShareHospital (DSH) reimbursement.
  • Position will concentrate oncost report appeals
  • Responsiblefor completing reviews on teaching, organ acquisition hospitals and othercomplex provider cost reports.
  • Participatesin special projects and review of work done by lower level auditors asassigned, including training/mentoring of lower level auditors.
  • Must be ableto perform all duties of lower level positions as directed by management.
  • Will supportthe Audit Unit as assigned.NGS Audit &Reimbursement II - PS33300Requirements:
    • BA/BSdegree, preferably in accounting; 2-5 years of audit/reimbursement or relatedMedicare experience; thorough knowledge of CMS program regulations and costreport format; knowledge of CMS computer systems and Microsoft Office Word andExcel; or any combination of education and experience, which would provide anequivalent background.
    • MBA, CPA or CIA preferred.NGS Audit &Reimbursement III - PS33300Requirements :
      • Requiresa BA/BS degree, preferably in accounting; 5-7 years of audit/reimbursement orrelated Medicare experience; thorough knowledge of CMS program regulations andcost report format; excellent knowledge of CMS computer systems and MicrosoftOffice Word and Excel; or any combination of education and experience, whichwould provide an equivalent background. MBA, CPA or CIA preferred.
      • Mustobtain Continuing Education Training requirements (where required).
      • A valid driver's license and the ability totravel may be required.

Keywords: Anthem, Inc, Placentia , Audit & Reimbursement II or III, Accounting, Auditing , Placentia, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Accounting, Auditing Jobs


Bazaar Polisher (Seasonal) - SLS Hotel, a Luxury Collection Hotel, Beverly Hills - (20022500)
Description: Here's To Your Journey with The Luxury Collection The Luxury Collection is a glittering ensemble of locally authentic hotels and resorts from around the world. Our hotel teams curate the worlds most enriching (more...)
Company: Marriott International, Inc.
Location: Long Beach
Posted on: 03/30/2020

Bazaar Barista (Seasonal) - SLS Hotel, a Luxury Collection Hotel, Beverly Hills - (20022499)
Description: Here's To Your Journey with The Luxury Collection The Luxury Collection is a glittering ensemble of locally authentic hotels and resorts from around the world. Our hotel teams curate the worlds most enriching (more...)
Company: Marriott International, Inc.
Location: Long Beach
Posted on: 03/30/2020

Care Management Clinical Auditor RN II
Description: br br br br br br br br br Position Type: br br Full Time br br br br br br br br br Requisition ID: br br 5366 br br br br br br br br Established (more...)
Company: L.A. Care Health Plan
Location: Los Angeles
Posted on: 03/30/2020


Kitchen / Dining Room Attendant (Full-Time) @ The New Autograph Collection Hotel, Inn at the Mission
Description: Here's To Your Journey with AC Hotels Marriott''s Autograph Collection features a select group of upscale and luxury independent partner hotels, each with its own distinct personality, experience, style (more...)
Company: Marriott International, Inc.
Location: Los Angeles
Posted on: 03/30/2020

Senior Regional Manager, Multifamily Operations
Description: Senior Regional Manager -- -- Our client company is an established and growing Multifamily Property Management with an expanding portfolio of apartments in multiple states. All assets are owner/managed. (more...)
Company: Career Options Recruiting Solutions
Location: Los Angeles
Posted on: 03/30/2020

Cash Coordinator
Description: Parking is 72.50 per month 7:00am-6:00pm Cash Coordinator needs 1 -2 years wire processing
Company: Global Channel Management, Inc.
Location: Long Beach
Posted on: 03/30/2020

Budget Administrator
Description: About City of Hope City of Hope, an innovative biomedical research, treatment and educational institution with over 6000 employees, is dedicated to the prevention and cure of cancer and other life-threatening (more...)
Company: City of Hope
Location: Monrovia
Posted on: 03/30/2020

Revenue Accountant (CL)
Description: Job Description: Prepare journal entries and corresponding supporting documentation Help review and resolve month end risk score accruals for discrepancies Prepare month-end entries for the
Company: Century Group
Location: Long Beach
Posted on: 03/30/2020

Front Desk Representative Overnight - Night Audit (Full Time) - Courtyard - (20019431)
Description: Here's To Your Journey with Courtyard With more than 330 managed locations in more than 20 countries Courtyard by Marriott offers a refreshing environment that helps guests stay connected and balanced. (more...)
Company: Marriott International, Inc.
Location: Los Angeles
Posted on: 03/30/2020

Night Auditor $14.63-$16.87 - Courtyard - (20022910)
Description: Here's To Your Journey with Courtyard With more than 330 managed locations in more than 20 countries Courtyard by Marriott offers a refreshing environment that helps guests stay connected and balanced. (more...)
Company: Marriott International, Inc.
Location: San Diego
Posted on: 03/30/2020

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Placentia RSS job feeds