Windsor, Connecticut
Entry Level Auditor (Healthcare) Job Opening in Windsor, Connecticut - The LTC Auditor I is responsible for the identification and recovery of client improper payments made to long term care healthcare providers. Essential Functions:
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.
Knowledge, Skills and Abilities:
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).
Work Conditions and Physical Demands:
Primarily sedentary work in a general office environment
Ability to communicate and exchange information
Ability to comprehend and interpret documents and data
Requires occasional standing, walking, lifting, and moving objects (up to 10 lbs.)
Requires manual dexterity to use computer, telephone and peripherals
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
Minimum Education:
High School Diploma/GED required
Bachelor?s degree preferred
Minimum Related Work Experience:
Associates? degree required
With Bachelor?s degree, no experience required
In lieu of Bachelor?s degree, 1+ to 5 years? experience required
Nothing in this job description restricts management?s right to assign or reassign duties and responsibilities to this job at any time.
Job Type: Full-time
Required education:
Bachelor's
Required experience:
Audit: 2 years
Healthcare: 2 years
Customer Service: 2 years
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