Medicare Cost Reporting Auditor II

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🔥 19 minutes ago

🌺 Hawaii, South Carolina, +2 more states – Remote

🌺 Hawaii – Remote 🌴 South Carolina – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote

💵 $49.4k - $94.7k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

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Palmetto GBA

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1965

⚕️ Healthcare Insurance

🏛️ Government

🤝 B2B

Healthcare Insurance • Government • B2B

Palmetto GBA is one of the nation's largest providers of high-volume Medicare claims and transaction processing, contact center operations, and technical services for federal healthcare programs and commercial customers. The company serves as a Medicare Administrative Contractor (MAC) and supports enrollment, claims adjudication, provider and beneficiary services, specialized programs (e. g. , DMEPOS, Home Health & Hospice, Railroad Medicare), pricing and coding analysis, and third-party administrator functions. Headquartered in Columbia, South Carolina, Palmetto GBA operates across multiple Medicare jurisdictions and is part of the Celerian Group.

📋 Description

• Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. • Identifies, documents, and evaluates business risks. • Documents issues, the causes of those issues, and their effects on the process/function and the corporation. • Drafts recommendations to limit risks and improve processes, functions and activities. • Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions, and recommendations. • Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies. • Conducts testing of corrective actions as identified. • Develops detailed reports on each audit conducted. • Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. • Examines and evaluates financial and information systems, recommending controls to ensure system reliability and data integrity. • Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. • Prepares reports of findings and recommendations for management. • Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.

🎯 Requirements

• Bachelor's in a job related field • 4 years job related work experience or Associate's and 2 years job related work experience • 2 years auditing experience • Knowledge of the principles and practices of auditing • Ability to analyze and determine the applicability of financial data • Ability to draw conclusions and make appropriate recommendations for analyzed data • Ability to gather information by examining records and documents and interviewing individuals • Strong interpersonal skills • Ability 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. • Proficiency in Microsoft Office

🏖️ Benefits

• Subsidized health plans • Dental and vision coverage • 401k retirement savings plan with company match • Life Insurance • Paid Time Off (PTO) • On-site cafeterias and fitness centers in major locations • Education Assistance • Service Recognition • National discounts to movies, theaters, zoos, theme parks and more