Medicare Cost Report Auditor III Job at BlueCross BlueShield of South Carolina
Summary
THIS POSITION HAS THE ABILITY TO WORK FROM HOME IN ANY CITY.
Responsible for handling cost report reopening and appeals, including writing position papers.
Description
50% Works with provider representatives to resolve appeal cases, including writing position papers and auditing documentation.
40% Resolves cost report reopening requests made by the provider, reviewing documentation submitted to determine accuracy of the request and proposing applicable adjustments to the cost report.
5% Provides training to and assists or leads other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.
5% Strives to expand knowledge of applicable laws, regulations, program instructions, and technology through self-study, corporate offerings, and formal training programs.
Required Education:
- Bachelor's degree - Accounting, Finance, Business Administration, or other job related field of study.
Required Experience:
- Five years of Medicare cost report auditing experience.
Required Skills and Abilities:
- Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data, to draw conclusions and make appropriate recommendations.
- Ability to gather information by examining records and documents and to interview individuals concerning those records.
- Strong interpersonal skills and the ability to work professionally with persons at all levels, and to maintain effective working relationships.
- Ability to communicate clearly and effectively in oral and written form.
- Ability to handle sensitive matters on a confidential basis.
- Excellent analytical or critical thinking and problem solving capabilities.
Required Software :
- Microsoft Office.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail abilities@bcbssc.com or call 1-800-288-2227, ext. 43172 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
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