Auditor III, Medicare Cost Report

Posted:
8/13/2024, 5:00:00 PM

Location(s):
Utah, United States ⋅ Tampa, Florida, United States ⋅ California, United States ⋅ Rhode Island, United States ⋅ Federation of Bosnia and Herzegovina, Bosnia and Herzegovina ⋅ Alabama, United States ⋅ Nashville-Davidson, Tennessee, United States ⋅ West Lampeter Township, Pennsylvania, United States ⋅ Eureka, Kansas, United States ⋅ Texas, United States ⋅ Pennsylvania, United States ⋅ West, Mississippi, United States ⋅ Sumpter Township, Michigan, United States ⋅ Oklahoma, United States ⋅ City of Rochester, New York, United States ⋅ Area F (West Howe Sound), British Columbia, Canada ⋅ West Virginia, United States ⋅ Ohio, United States ⋅ Arkansas, United States ⋅ Massachusetts, United States ⋅ Milwaukee, Wisconsin, United States ⋅ Castile and León, Spain ⋅ Wyoming, United States ⋅ England, United Kingdom ⋅ Minnesota, United States ⋅ Salt Lake City, Utah, United States ⋅ New York, United States ⋅ West Springfield, Massachusetts, United States ⋅ New Hampshire, United States ⋅ Iowa, United States ⋅ New Jersey, United States ⋅ Missouri, United States ⋅ Wisconsin, United States ⋅ Newfoundland and Labrador, Canada ⋅ Arizona, United States ⋅ Michigan, United States ⋅ Kansas, United States ⋅ Tennessee, United States ⋅ Warwick, Rhode Island, United States ⋅ Louisiana, United States ⋅ Salem, New Hampshire, United States ⋅ South Carolina, United States ⋅ North Carolina, United States ⋅ Mississippi, United States ⋅ Virginia, United States ⋅ Maryland, United States ⋅ West Java, Indonesia ⋅ Nuevo Chimbote, Ancash, Peru ⋅ Florida, United States ⋅ Cuéllar, Castile and León, Spain ⋅ Tazewell, Virginia, United States ⋅ Ancash, Peru ⋅ Colorado, United States ⋅ Horsham, England, United Kingdom ⋅ Washington Township, Pennsylvania, United States ⋅ British Columbia, Canada ⋅ Stephenville, Newfoundland and Labrador, Canada ⋅ West Covina, California, United States ⋅ West, Texas, United States

Experience Level(s):
Mid Level ⋅ Senior

Field(s):
Accounting


Summary
 

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!


Description
 

Logistics:

This position is a W@H position requiring you to work full time 40 hours a week.

 

What You’ll Do:

  • Works with provider representatives to resolve appeal cases, including writing position papers and auditing documentation.
  • Resolves cost report reopening requests made by the provider, reviewing documentation submitted to determine accuracy of the request and proposing applicable adjustments to the cost report.
  • Provides training to and assists or leads other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.
  • Strives to expand knowledge of applicable laws, regulations, program instructions, and technology through self-study, corporate offerings, and formal training programs.

 

To Qualify for This Position, You’ll Need:

Required Education:

  • Bachelor's degree - Accounting, Finance, Business Administration, or other job-related field of study (Must include 12 credit hours of accounting)

Required Work Experience:

  • 5 years of Medicare cost report auditing experience.

Required Skills/Abilites:

  • Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data, to draw conclusions and make appropriate recommendations.
  • Ability to gather information by examining records and documents and to interview individuals concerning those records.
  • Strong interpersonal skills and the ability to work professionally with persons at all levels, and 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. 
  • Excellent analytical or critical thinking and problem-solving capabilities.
  • Experience with Microsoft Office.

 

What we Prefer you to have:

  • Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Information Systems Auditor (CISA)

What We can Do for You:

We offer our employees great benefits and rewards.  You will be eligible to participate in the benefits the first of the month following 28 days of employment.  

  • 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
  • Wellness program and healthy lifestyle premium discount
  • Tuition assistance
  • Service recognition
  • Employee Assistance
  • Discounts to movies, theaters, zoos, theme parks and more

 

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications.  This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours, please attach your transcript to your application.

 

Management will be conducting interviews with the most qualified candidates, with prioritization give to those candidates who demonstrate the preferred qualifications.

Pay Range Information:

Range Minimum
 $57,790.00
 

Range Midpoint
 $ 84,089.00

Range Maximum
 $ 110,388.00



 

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

Some states have required notifications. Here's more information

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.