Medicare Auditor I - 40625 - (US-MI-Southfield - 48086)

Minimum Education: Tech School
Job Type: Full Time
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An independent subsidiary of WellPoint, Inc, National Government Services (NGS)
is a national leader in Medicare. NGS combines five great companies - AdminaStar Federal, Anthem Health Plans of New Hampshire, Associated Health Service, Empire Medical Services and United Government Services.

Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.

Medicare Auditor I
is responsible for completing limited desk reviews on Non-Teaching PPS hospitals.

Essential duties may include, but are not limited to:
* Assist higher level auditor on field work based on the results of the desk audit.
* Participates in audits of providers by performing reviews of providers financial records that include information contained on the provider's filed CMS cost reports.
* Prepares detailed schedules, standard audit work papers and adjustment reports as needed.
* Participates in Entrance and Exit conferences on assigned field work.
* Performs post audit activities involving follow-up with provider representatives and preparing the final cost report package.
* Completes wage index reviews, interim rate reviews, tentative settlements and MSP audits on all types of providers as assigned.
* Performs other duties as assigned.

Skills:
* Bachelor degree in Accounting or Business Administration with sufficient credits in Accounting to qualify to sit for the CPA exam required.* CPA/CIA preferred.* Medicare Audit experience preferred.* Must obtain Continuing Education Training requirements (where applicable).* Excellent oral, written and interpersonal communication skills required.* Strong organizational, analytical and problem solving skills required.* Must be able to lift up to 25 pounds.* Must have a valid driver's license and the ability to travel is required. WellPoint is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2008 DiversityInc magazine Top 50 Company for Diversity.

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