Anthem, Inc. Audit & Reimbursement III in Indianapolis, Indiana
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.
he Audit & Reimbursement III is responsible for completing system updates as required by the Centers for Medicare and Medicaid Services (CMS) to ensure proper Medicare reimbursement to Part A providers. Primary duties may include, but are not limited to: •Process and review updates to the System of Tracking Audit and Reimbursement (STAR) and Fiscal Intermediary Shared System (FISS). •Review and interpret CMS regulations and instructions. •Responsible for assigning, reviewing, and approving the work performed by auditors. •Responsible for completing interim rate reviews, final settlements and tentative settlements as assigned. •Will support the Appeal Unit with appeal issues as assigned. •Participates in special projects and review of work done by lower-level auditors as assigned. •Performs complex calculations related to payment exception requests and reviews exception request workpapers prepared by others. •Analyzes and interprets data and makes recommendations for change based on judgment and experience. •May perform Part A provider enrollment responsibilities as needed. •Must be able to perform all duties of lower-level positions as directed by management. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
•Requires a BA/BS degree, preferably in accounting; 5-7 years of audit/reimbursement or related Medicare experience; thorough knowledge of CMS program regulations and cost report format; excellent knowledge of CMS computer systems and Microsoft Office Word and Excel; or any combination of education and experience, which would provide an equivalent background. MBA, CPA or CIA preferred. Must obtain Continuing Education Training requirements (where required). A valid driver's license and the ability to travel may be required.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
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