BlueCross BlueShield of South Carolina · 1 month ago
Medicare Auditing Supervisor (Cost Reporting)
Greater Dothan
Full-time
Onsite
Senior Level
$65K/yr - $98K/yr
5+ years expBlueCross BlueShield of South Carolina is responsible for supervising Medicare cost reports and ensuring compliance with CMS requirements. The Medicare Auditing Supervisor will oversee audit work, manage team responsibilities, and develop staff training to maintain high standards in compliance and auditing processes.
Financial ServicesHealth CareHealth InsuranceInsuranceMedical
Responsibilities
Performs supervisory review of all audit work papers completed by the team to ensure all work conforms to CMS and other government auditing standards
Performs supervisory review of all cost report acceptances and desk reviews to ensure timeliness requirements are met and all CMS standards are adhered to
Plans, monitors, and budgets all work assigned for the team, and evaluates and reports results
Performs supervisory review of all settlement packages ensuring product meets all CMS standards
Assists in developing the audit staff by providing on-the-job training as well as preparing and presenting formal staff training sessions
Researches issues and responds to provider and CMS requests in a timely manner
Qualification
Required
Bachelor's in a job related field
5 years auditing or accounting experience including 1 year in a leadership role or equivalent military experience in grade E4 or above
Knowledge of cost accounting standards and Generally Accepted Accounting Principles
Knowledge and use of auditing standards and statistical sampling techniques
Good planning, organization, and human relations skills
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 and to interview individuals
Strong interpersonal skills
Ability to work professionally with persons at all levels
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
Ability to make presentations and apply critical thinking skills
Knowledge of provider reimbursement review board
Ability to interpret and implement changes to Medicare program
Thorough understanding of Uniform Contractor Evaluation Program guidelines
Ability to adapt to changing environment
Strong planning skills with the ability to makes sound decisions
Microsoft Office
Preferred
Bachelor's degree- any major
Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) or Certified Management Accountant (CMA)
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
Company
BlueCross BlueShield of South Carolina
For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
April Richardson
Vice President and Chief Operating Officer of Companion Benefit Alternative
Alli McGary
Talent Acquisition Partner
Recent News
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