PARD Settlement Assoc 1-Novitas

GuideWell Source

9h • Remote

About The Position

Are you interested in joining a team of experienced healthcare experts and have
the ability to shape and transform the healthcare delivery system? 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.

The Provider Audit and Reimbursement Settlement Associate position's primary
role is to process the acceptability of annual Medicare cost reports and to
accurately and timely process final settlement of less complex healthcare
providers (non-hospitals).

Requirements

• High School Diploma or GED
• 2 years' related work experience including general accounting or Medicare reimbursement
• Demonstrated proficiency in MicroSoft Office applications including Word and Excel

Nice To Haves

• Associate Degree in Accounting
• Basic understanding of reimbursement methodologies and Medicare cost report flow

Responsibilities

• Processes Cost Report Settlement of less complex healthcare providers including Skilled Nursing Facilities (SNF), End Stage Renal Disease (ESRD), Community Mental Health Clinics (CMHC), Rural Health Clinics (RHC) and Home Office cost statements submitted by Audit. After a thorough review of all edits and results, the final product is the issuance of the Notice of amount of Program Reimbursement letter and adjusted cost report print out which indicates the final balance due. This information is forwarded to Accounts Receivable for disbursement or collection and it is also transmitted electronically to CMS. (35%)
• Processes Cost Report Acceptance of less complex healthcare providers including SNF, ESRD, CMHC, RHC and Home Office cost statements which includes acceptance or rejection. Staff has the ability to determine rejections but must be approved by Team Lead or above. (20%)
• Responsible for compiling and maintaining data logs, processing incoming and outgoing mail, scanning functions, report compilation, data preparation, as well as record filing and retrieval. (15%)
• Resolves discrepancies and may communicate with a variety of administrative and professional employees within and outside the organization. (15%)
• Responsible for reviewing and interpreting cost reporting instructions, CMS instructions and any Technical Direction Letter (TDLs) issued by CMS to make an informed decision on any discrepancies. Must get high level staff approval. (10%)
• Responsible for meeting quality and productions standards established by management. (5%)
• Performs other duties as the supervisor may, from time to time, deem necessary.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED