[Hiring] Lead Auditor @GuideWell Source

Role Description

The Provider Audit and Reimbursement Lead utilizes advanced knowledge of Medicare laws, regulations, instructions from the Centers for Medicare and Medicaid Services (CMS), and provider policies to perform desk reviews and audits of the annual Medicare cost reports, as well as interim rate review/reimbursement, and/or settlement acceptance/finalization for all provider types, including complex and organ transplant hospitals, as both a preparer and reviewer of work product based on established performance goals. The position will mentor and train Auditors and In-Charge Auditors and oversee daily workload of unit team.

Qualifications

• Bachelors' degree or a combination of education and experience in disciplines such as auditing, accounting, analytics, finance or similar experience in lieu of a degree.
• Thorough understanding of the Medicare cost report, including the step-down method.
• 2.5 to 3 years of Medicare cost report auditing experience.
• Experience performing a Uniform Desk Review (UDR) and an audit for a large or complex hospital.
• Experience with Medicare Bad Debts, DSH, IME/GME reviews.
• Ability to prepare workpapers according to CMS standards.
• Good working knowledge of all applicable software applications.
• Demonstrated oral and written communications skills.
• Demonstrated attention to detail.

Requirements

• Leadership skills and involvement in junior auditor formal training or special projects.
• Ability to serve as an effective mentor for less experienced staff.
• Engagement and commitment to departmental success.
• Ability to exercise independent judgment and discretion.

Benefits

• Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire.
• Short- and long-term disability benefits.
• 401(k) plan with company match and immediate vesting.
• Free telehealth benefits.
• Free gym memberships.
• Employee Incentive Plan.
• Employee Assistance Program.
• Rewards and Recognition Programs.
• Paid Time Off and Paid Sick Leave.

Company Description

At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a better health experience for all consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services.