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Healthcare Auditor

Description

The CSI Companies is currently seeking a Healthcare Auditor to support one of our clients in the Windsor area.


The CSI Companies understands that an attractive benefits package is important for recruiting above-average candidates. While on contract, we offer a benefits package that includes weekly pay, direct deposit, multiple healthcare plans (Vision, Dental, Disability options, Holiday Pay, & Paid Time Off) if eligible.


Main Job Duties:

• Interpreting and applying federal and state Medicaid regulations, statutes, and policies pertaining to long term care.

• Analyzing provider records from multiple accounting software programs.

• Identifying improper payments relating to inaccurate payments, collections, and coordination of benefits.

• Acting as the primary liaison with their assigned long term care providers.

• Managing 40+ audits in varying phases

• Responsible for provider reporting and communication.

• Responsible for status reporting to management.

• Performs other functions as assigned


Requirements:

• High School Diploma/GED required.

• Associates’ degree required. With Bachelor’s degree, no experience required In lieu of Bachelor’s degree, 1+ to 5 years’ experience required

• Strong analytical skills and an ability to overcome obstacles and resolve problems.

• Ability to function independently and effectively under pressure and deadline-oriented project demands as well as manage multiple initiatives.

• Ability to multi-task, establish priorities, and meet revenue objectives.

• Must have excellent organizational and time management skills in order to manage multiple audits and meet or exceed revenue targets.

• Must have exceptional written and oral communication and interpersonal skills in order to build strong working relationships with both internal staff and assigned LTC providers.

• Must be able to follow directives and adapt to shifting priorities as required.

• Working knowledge of HIPAA privacy and Security rules.

• Professional, confident, and have a positive work attitude.

• Ability to perform well in team environment, with staff at all levels, to achieve business goals.

• Ability to maintain a professional demeanor and appearance at all time.

• Proficiency in PC based business applications including Microsoft Office (Word, Excel, Power Point, and Access).

• May be required to work extended hours for special business needs

•  May be required to travel at least 10% of time based on business needs

Requirements

 

Job Snapshot

Location US-CT-Windsor
Employment Type Full-Time
Pay Type Year
Pay Rate N/A
Store Type Accounting
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Company Overview

The CSI Companies

The CSI Companies and its four divisions provide national staffing solutions by placing top talent in the technology, financial, accounting, healthcare, and other professional industries across the country. The CSI Companies are part of Recruit Global Staffing, active in Asia, Europe, North America and Oceania. Recruit Global Staffing is a leading global HR service provider, part of Recruit Holdings Co., Ltd. To learn more about The CSI Companies, visit thecsicompanies.com. Learn More

Contact Information

US-CT-Windsor
Snapshot
The CSI Companies
Company:
US-CT-Windsor
Location:
Full-Time
Employment Type:
Year
Pay Type:
N/A
Pay Rate:
Accounting
Store Type:

Description

The CSI Companies is currently seeking a Healthcare Auditor to support one of our clients in the Windsor area.


The CSI Companies understands that an attractive benefits package is important for recruiting above-average candidates. While on contract, we offer a benefits package that includes weekly pay, direct deposit, multiple healthcare plans (Vision, Dental, Disability options, Holiday Pay, & Paid Time Off) if eligible.


Main Job Duties:

• Interpreting and applying federal and state Medicaid regulations, statutes, and policies pertaining to long term care.

• Analyzing provider records from multiple accounting software programs.

• Identifying improper payments relating to inaccurate payments, collections, and coordination of benefits.

• Acting as the primary liaison with their assigned long term care providers.

• Managing 40+ audits in varying phases

• Responsible for provider reporting and communication.

• Responsible for status reporting to management.

• Performs other functions as assigned


Requirements:

• High School Diploma/GED required.

• Associates’ degree required. With Bachelor’s degree, no experience required In lieu of Bachelor’s degree, 1+ to 5 years’ experience required

• Strong analytical skills and an ability to overcome obstacles and resolve problems.

• Ability to function independently and effectively under pressure and deadline-oriented project demands as well as manage multiple initiatives.

• Ability to multi-task, establish priorities, and meet revenue objectives.

• Must have excellent organizational and time management skills in order to manage multiple audits and meet or exceed revenue targets.

• Must have exceptional written and oral communication and interpersonal skills in order to build strong working relationships with both internal staff and assigned LTC providers.

• Must be able to follow directives and adapt to shifting priorities as required.

• Working knowledge of HIPAA privacy and Security rules.

• Professional, confident, and have a positive work attitude.

• Ability to perform well in team environment, with staff at all levels, to achieve business goals.

• Ability to maintain a professional demeanor and appearance at all time.

• Proficiency in PC based business applications including Microsoft Office (Word, Excel, Power Point, and Access).

• May be required to work extended hours for special business needs

•  May be required to travel at least 10% of time based on business needs

Requirements

 
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