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Elevance Health · 1 day ago

Audit & Reimbursement II- Appeals

Indianapolis, IN

Full-time

Hybrid

New Grad, Entry Level

$54K/yr - $89K/yr

Elevance Health is a health company dedicated to improving lives and communities. The Audit and Reimbursement II will support Medicare Administrative Contract with the federal government, gaining experience in auditing and financial analysis within the healthcare industry while participating in special projects and training opportunities.

Health CareHealth InsurancePersonal HealthWellness

No H1B

U.S. Citizen Only

Responsibilities

Analyze and interprets data and makes recommendations for change based on their judgment and experience

Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements

Gain experience with applicable Federal Laws, regulations, policies and audit procedures

Respond timely and accurately to customer inquiries

Ability to multi- task while independently and effectively prioritizing work using time management, initiative, project management and problem-solving skills

Analyze and interpret data per a provider’s trial balance, financial statements, financial documents, or other related healthcare records

Perform cost report reopenings

Under guided supervision, participate in completing appeals related work:

+ Position papers

+ Jurisdictional Reviews

+ Maintaining accurate records by updating all logs, case files, tracking systems

+ Participate in all team meetings, staff meetings, and training sessions

Qualification

Financial AnalysisMedicare RegulationsData AnalysisMicrosoft ExcelAccounting DegreeProject ManagementProblem SolvingTime Management

Required

Requires a BA/BS degree in Finance/Accounting/Business or any combination of education and related experience, which would provide an equivalent background

This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years