Medicare Cost Report Auditor III

🔥 0 minutes ago

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Insurance • Finance

BlueCross BlueShield of South Carolina is a leading health insurance provider that offers a variety of health plans, including individual and family plans, Medicare options, and group health plans. The organization focuses on providing coverage and resources for members, employers, and healthcare providers, ensuring access to quality healthcare services. With a commitment to promoting healthier lifestyles and supporting community health, BlueCross BlueShield of South Carolina plays a vital role in the healthcare landscape of the region.

📋 Description

• Conducts internal and/or external timely operational, financial, and/or compliance audits • Identifies, documents, and evaluates business risks • Develops written audit programs • Conducts testing and analysis of existing controls • Prepares written work papers to document testing results • Drafts recommendations to limit risks and improve processes • Writes audit reports for corporate executive management • Collects and analyzes data to detect deficient controls • Conducts testing of corrective actions as identified • Develops detailed reports on each audit conducted • Examine and evaluate financial and information systems • Conducts special audit studies for management • Provides training to and assists or leads other auditors

🎯 Requirements

• Bachelor's in a job related field • 5 years auditing experience • Knowledge of the principles and practices of auditing • Ability to analyze and determine the applicability of financial data • Ability to gather information by examining records and documents • Strong interpersonal skills and professionalism • Ability to communicate clearly and effectively in oral and written form • Ability to handle sensitive matters confidentially • Excellent analytical or critical thinking and problem-solving capabilities. • Microsoft Office proficiency • Preferred: Bachelors in Accounting/Finance or 12 credit hours • Preferred: Lead auditor for Uniform Desk Reviews (UDRs) and complex hospital audits • Preferred: Minimum 2 years of Medicare hospital cost report auditing experience • Preferred: Expertise in Medicare Bad Debt and DSH cost report reviews • Preferred: Skilled in Nursing and Allied Health Education (NAHE) legal operator determinations

🏖️ 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

Apply Now

Similar Jobs

🔥 8 hours ago

Mercury

201 - 500

💳 Fintech

💸 Finance

☁️ SaaS

Senior Internal Auditor at Mercury driving internal audits and ensuring compliance for a fintech startup. Collaborate with teams to enhance risk management and operational efficiencies.

🔥 10 hours ago

Conduct audits and ensure accurate premiums for a property and casualty insurance company. Build positive relationships with internal and external stakeholders while working remotely.

🔥 11 hours ago

Resource Innovations

201 - 500

⚡ Energy

Residential Energy Auditor performing energy audits and inspections for Resource Innovations to enhance community energy efficiency. Collaborating with teams to implement solutions and ensure program integrity.

🔥 13 hours ago

Consultant - Healthcare Compliance Auditor performing audits and compliance checks for healthcare documentation. Requires coding certification and 2+ years experience in healthcare provider billing and coding.

🇺🇸 United States – Remote

💵 $70k - $150k / year

💰 Venture Round on 2020-07

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🔥 16 hours ago

Qlarant

501 - 1000

🏛️ Government

⚕️ Healthcare Insurance

Auditor/Investigator ensuring claims integrity and accuracy through data collection and analysis. Conducting audits, investigations, and making recommendations for claim resolution.