Reimbursement Auditor

Job ID: HF-1019257 Description:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can email us here to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "my account" and click on "View your job submissions".

Job Purpose:

This position is responsible for conducting Blue Cross Maximum Reimbursement Cost (MRC) audits from scheduling through finalization. Maintains full responsibility for all field and desk audit activities performed in order to verify that reasonable cost data submitted by providers is compiled and reported fairly and accurately in conjunction with GAAP, Medicare reporting, and Blue Cross reporting methodologies.

Required Job Qualifications:

  • Bachelor Degree in Accounting or Finance.
  • 1 year of Financial or Medicare auditing experience OR 1 year of hospital accounting or reimbursement/budget experience, OR 1 year CPA firm auditing experience in the hospital field.
  • Knowledge of GAAP, Medicare, and or Blue Cross auditing experience.
  • Ability to manage multiple projects/assignments.
  • Ability to work independently.
  • Interpersonal and negotiation skills.
  • PC proficiency to include Word, Excel, PowerPoint and Outlook.

LI-POST

  • CA
  • CB

Requirements: Expertise Audit Job Type Full-Time Regular Location IL - Chicago


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