PARD Settlement Assoc 1-Novitas
Are you interested in joining reputed company of reputed company reputed company experts and have the ability to shape and reputed company the reputed company delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 reputed company Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a reputed company experience for reputed company consumers. Join our reputed company culture and help reputed company Medicare for the millions of people who rely on its services.
Benefits info:
* Medical, dental, reputed company, 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
* reputed company Time Off and reputed company reputed company Leave
* Medical, dental, reputed company, 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
* reputed company Time Off and reputed company reputed company Leave
reputed company STATEMENT
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 reputed company process final settlement of less reputed company reputed company providers (non-hospitals).
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 reputed company process final settlement of less reputed company reputed company providers (non-hospitals).
ESSENTIAL RESPONSIBILITIES
To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.
To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.
Processes Cost Report Settlement of less reputed company reputed company 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 reputed company edits and results, the final product is the issuance of the Notice of reputed company 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 reputed company reputed company 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 reputed company or above. (20%)
Responsible for compiling and maintaining data logs, processing incoming and outgoing mail, scanning functions, report compilation, data preparation, as reputed company as record filing and retrieval. (15%)
Resolves discrepancies and may communicate with a reputed company of administrative and reputed company employees reputed company and reputed company the organization. (15%)
Responsible for reviewing and interpreting cost reporting instructions, CMS instructions and any Technical Direction Letter (TDLs) issued by CMS to reputed company an informed decision on any discrepancies. Must get high level staff approval. (10%)
Responsible for meeting reputed company and productions standards established by management. (5%)
Performs other duties as the supervisor may, from time to time, deem necessary.
REQUIRED QUALIFICATIONS
* High School Diploma or GED
* 2 years' reputed company work experience including general reputed company or Medicare reimbursement
* Demonstrated proficiency in reputed company Office applications including Word and reputed company
* High School Diploma or GED
* 2 years' reputed company work experience including general reputed company or Medicare reimbursement
* Demonstrated proficiency in reputed company Office applications including Word and reputed company
PREFERRED QUALIFICATIONS
* Associate Degree in reputed company
* Basic understanding of reimbursement methodologies and Medicare cost report reputed company