NGS Audit & Reimbursement Sr - 65955
WellPoint - Indianapolis, IN

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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.

Audit and Reimbursement Senior

Responsible for coordinating all activities of an audit or reimbursement team in the initiation and completion of assignments which includes acceptance, tentative settlements, interim rate reviews, completion of the desk audit review, field audit or in-house audit, and the settlement process of the CMS cost reports. Primary duties may include, but are not limited to:

Perform audit work on complex audits.

Evaluate the work performed by the audit staff to assess the technical accuracy and accuracy of work papers and financial data related to the cost report.

Review of wage index, MSP audits, complex exception requests and CMS change requests.

Assist the leads and managers in training and development of the staff on current CMS regulations.

Will support the Appeal Unit with appeal issues as assigned.

Participates in special projects and review of work done by lower level auditors as assign.

Analyzes and interprets data and makes recommendations for change based on their judgment and experience.

Must be able to perform all duties of lower level positions as directed by management.

Highly prefer candidates to be located in Indianapolis IN location, will consider off premise workers that have 1+ years of successfully performing this same role for NGS organization.

1+ years of experience with STAR, FISS, Teammate and PS&R systems required

Must be able to lift up to 25 pounds. Must have a valid drivers license and the ability to travel is required.

Job Qualifications

Bachelor degree required;

Bachelor degree in Accounting preferred. MBA, CPA, CIA or CFE preferred. 8 + years audit/reimbursement or related Medicare experience required. Must obtain Continuing Education Training requirements. Demonstrated leadership experience preferred. Thorough knowledge of CMS program regulations and cost report format required. Excellent knowledge of CMS computer systems and Microsoft Office Word and Excel required.

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.

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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...