NGS Audit/Reimb Tech - 65979
WellPoint - Milwaukee, WI

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An independent subsidiary of WellPoint, Inc, National Government Services (NGS) is one of the largest Medicare contractors in the country, serving nearly 200,000 providers and suppliers and over 20 million customers with Medicare in 20 states and five U.S. territories.

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

Responsible for submitting data to CMS in a timely and accurate manner. Primary duties may include, but are not limited to:

Maintains an in-depth knowledge of CMS systems that may include program maintenance of software.

Assists with interim rate and tentative settlement processing, cost report tracking and distribution, monthly input to logs, sends out cost report reminder letters and uses vendors software as needed to support the processing of cost reports.

Interacts with provider community and provider consultants regarding payments to providers. Prepares Medicare final and reopening settlement packages for all providers.

Assists in the cost report acceptance process. Maintains provider files for claims system and CMS databases.

Process Freedom of Information Requests in a timely and accurate manner.

Job Qualifications

High School Diploma or equivalent required. Associates Degree in Accounting preferred. 1-2 years Medicare related experience preferred.

WellPoint is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2012 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at www.wellpoint.com/careers. EOE

Once an offer is accepted, all external applicants are subject to a background investigation
and if appropriate, drug testing. Offers of employment shall be contingent upon
passing both the background investigation and drug testing (if required).

  • Current WellPoint associates: All referrals must be submitted through the formal
associate referral process on WorkNet. Official guidelines for the associate referral
program can be found in My HR.

  • WARNING: Please beware of phishing scams. Our company will never ask
you for bank account information when you are applying for a job.

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WellPoint, Inc. (WellPoint) is a health benefits company serving 35 million medical members, as of December 31, 2008. The Company is an...