Field Cost Report Auditor 1 at WPS Health Solutions in Denver, Colorado
Posted in Other 30+ days ago.
Job Description:
Description
Role Summary:
Our Auditor I completes audits and desk reviews in accordance with government requirements to ensure accurate reporting of statistical and financial data reported on Medicare Cost Report.
In this role you will:
- Lead and participate in completing Uniform Desk Review/Audit Program within interim and monthly production goals.
- Prepare audit adjustment reports and detailed sets of work papers in accordance with Government Auditing Standards and Centers for Medicare and Medicaid Services (CMS) requirements, during review, analysis, and audit/desk review of provider's cost report.
- Analyze expense and revenue data for reasonableness and compliance, review provider pricing policies for consistency in charges, and examine statistical data for cost allocations.
- Participate in interim work groups, providing input on work paper guidelines, techniques, and requirements.
- Stay abreast of current CMS regulations and WPS audit procedures.
- Defend reimbursement or audit decisions made during desk review and audit.
- Respond timely and accurately to provider inquiries.
This role could be a good fit if you:
- Thrive in a fast-paced environment that is deadline-driven.
- Are extremely detailed-oriented and can easily identify inaccuracies.
- Feel comfortable defending your decisions with data and facts.
- Excel at math and problem-solving.
You'll benefit from this experience by:
- Working with a management team committed to maintaining a high performing work culture.
- Learning basic auditing principles.
- Receiving an introduction to healthcare reimbursement.
- Enjoying flexible work hours.
- Working remotely in the comfort of your home - no driving time, gas costs, or wear and tear on your vehicle.
You need to have:
- Bachelor's degree in Accounting, Finance, Math, Business, or related field OR equivalent post high school education and/or work-related experience
- Demonstrated understanding of accounting principles, auditing theories, or math concepts obtained through formal education and/or work related experience
We also prefer:
- 1 or more years of related experience
- Medicare Cost Report Experience
- Healthcare Experience
- Accounting or Finance background
Compensation and Benefits
- Eligible for annual Performance Bonus Program
- 401(k) with dollar-per-dollar match up to 6% of salary
- Competitive paid time off
- Health and dental insurance start DAY 1
- Vision insurance
- Flexible spending, dependent care, and health savings accounts
- Short- and long-term disability, group life insurance
- Dress for your day
- Innovative professional and cognitive development programs
Who We Are
WPS Health Solutions is an innovator in health insurance and a worldwide leader in claims administration, serving millions of beneficiaries in the United States and abroad.
Founded in 1946, WPS offers health insurance plans for individuals, families, and seniors, and group plans for small and large businesses. We are a world-class claims processor and program administrator for the government's Medicare program. And we manage benefits for millions of active-duty and retired military personnel and their families.
Our Purpose and Values
Our purpose is to make healthcare easier for those we serve. Click Here
Our values - Customer Focused, Individual Responsibility, Mutual Respect, and Driven & Passionate - are the core of who we are and how we conduct business every day.
WPS Health Insurance
WPS Health Insurance offers high-quality health insurance plans for individuals and families, Medicare supplement plans for seniors, and group health plans for businesses of every size.
http://wpshealthsolutions.com/business-units/wpshi.shtml
Military and Veterans Health
WPS Military and Veterans Health administers claims and provides customer service and related activities for the U.S. Department of Defense and the U.S. Department of Veterans Affairs and their beneficiaries.
http://wpshealthsolutions.com/business-units/wpsmvh.shtml
Government Health Administrators
WPS Government Health Administrators manages Medicare Part A and Part B benefits for more than 7 million beneficiaries. As one of the largest contractors for the Centers for Medicare & Medicare Services, we've served Medicare beneficiaries and their health care providers since 1966.
http://wpshealthsolutions.com/business-units/wpsgha.shtml
WPS Health Plan
WPS Health Plan offers Health Maintenance Organization and Point-of-Service plans to the group and individual markets in eastern and north-central Wisconsin, plus third-party administrator services.
http://wpshealthsolutions.com/business-units/wpshi.shtml
EPIC Specialty Benefits
EPIC Specialty Benefits provides businesses group insurance products that cover:
- Life
- Disability
- Dental
- Vision
- Voluntary benefits
http://wpshealthsolutions.com/business-units/epicsb.shtml
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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
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