Prepare tentative and final cost settlements to determine providers reimbursement rates for processing Medicaid claims for hospitals Rural Health Clinics and Federally Qualified Health Centers.
Audit financial and statistical data to verify and monitor accuracy with government procedures.
Use knowledge of compliance rules and regulations to propose adjustments to providers financial data or recommend policy/procedure changes.
Perform on-site audits (travel required).
Perform reconciliation for FQHC quarterly wrap payments.
Process Description:
The MAG Auditor audits financial and statistical cost reporting data to determine provider reimbursement rates for Medicaid claims.
Prepares and signs off on tentative and final cost settlements.
Performs on-site field audits of childrens hospitals.
Uses knowledge of compliance rules and regulations to propose data adjustments or policy changes.
Skills Required:
Business degree
Intermediate Microsoft skills
Time management skills
Problem-solving skills
Team-oriented
Nice to Have Skills:
Accounting degree
Auditing experience
Advanced Microsoft Excel skills
Strong leadership communication (written and oral) and interpersonal skills
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