Long-Term Care Auditor I

🕒 February 21

🇺🇸 United States – Remote

💵 $45k - $55k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Interpret and apply federal and state Medicaid regulations, statutes, and policies related to long term care. • Analyze provider records across multiple accounting software systems to identify discrepancies. • Identify improper payments, including those resulting from inaccurate payments, collections issues, and coordination of benefits. • Serve as the primary liaison for assigned long term care providers, ensuring clear and consistent communication. • Manage a caseload of 30+ in various stages of completion. • Prepare and deliver provider reports and maintain ongoing communication throughout the audit process. • Provide regular status updates and reports to management.

🎯 Requirements

• Bachelor’s degree required or Associate’s degree with five(5) years of related experience • Strong analytical and problem solving skills. • Ability to work independently, manage competing deadlines, and handle multiple initiatives simultaneously. • Excellent organizational and time management skills to meet or exceed revenue and audit targets. • Exceptional written and verbal communication skills, with the ability to build strong relationships with internal teams and long term care providers. • Flexibility to adapt to shifting priorities and follow direction as needed.

🏖️ Benefits

• Health benefits (medical, dental, and vision) begin on Day 1 of employment. • 401(k) with company match and additional benefits become available within the first few months. • Employees can take advantage of the flexible vacation policy after 90 days of employment. • Career growth and advancement opportunities are encouraged and supported. • A company-provided computer is supplied for work use.