Healthcare Auditor - REMOTE
Company: University of Massachusetts Medical School
Location: Charlestown
Posted on: January 27, 2023
Job Description:
OverviewGENERAL SUMMARY OF POSITION: Under the general direction
of the Senior Associate or designee, the Associate II will assist
in the development of contracts with state agencies; both in and
out of state. - -ResponsibilitiesMAJOR RESPONSIBILITIES:
- Perform complex analysis in support of projects in and out of
state
- Perform research & development analysis relevant to revenue
management/enhancement projects as assigned
- Assist in the development of program expansion plans
- Assist in the development of presentations and the preparation
of marketing materials to clients
- Support senior staff on site visits
- Participate in the development of agreements between public
entities and the University
- Participate in Request for Information/Request for Proposal
processes
- Participate in project forecasting and work on assigned
financial analysis projects. -
- Participate in presentations to staff regarding success, merits
of initiative, etc. -
- Research, develop, and prepare work and implementation plans in
support of project and initiatives. Complete assigned projects from
start to finish -
- Assist in coordinating with subcontractors to obtain databases
for various revenue initiatives
- Participate in training staff and clients (in and out of state)
in types of reimbursable initiatives
- Provide technical support in the preparation of federal claims
for reimbursement
- Coordinate communications with clients about status of their
projects -
- Prepare internal and external reports
- Participate in the Continuous Quality Improvement program
- Perform other duties as required. -QualificationsREQUIRED
QUALIFICATIONS:
- Masters degree and 3 -5 years of experience in a business
related field, or equivalent experience
- Must have knowledge of State and Federal regulations as they
apply to public assistance programs
- Demonstrated experience in computer based tools including
spreadsheets and word processing
- Knowledge of accounting principles, budgeting, and computer
reporting preparation
- Demonstrated project management skills.
- Ability to travel to off-site locationsAdditional
InformationGENERAL SUMMARY OF POSITION:Under the direction of the
Financial Compliance Unit (FCU) Director or designee, the
Healthcare Auditor -plays an integral role in program integrity and
compliance by performing, and potentially overseeing, financial
audits/reviews. This position will be vital in implementing
auditing policies, procedures, and contractual obligations. The
Healthcare Auditor will work both independently and within a team,
interacting with a variety of healthcare providers, vendors and
team members.Commonwealth Medicine (CWM) is the consulting division
of UMass Chan Medical School. The FCU, within CWM, performs
financial audits and reviews of Nursing Facilities and Hospitals to
ensure compliance with MassHealth provider, administrative, and
billing regulations. The FCU also performs various tasks related to
billing, reporting and financial reviews of other state government
programs. FCU staff are primarily accountants, auditors and staff
highly skilled in Access and Excel.PREFERRED QUALIFICATIONS:
- Expertise in Hospital or Nursing Facility billing, accounting,
or auditing
- Formal education in accounting
- CPA, or extensive accounting experience
- Exceptional knowledge of accounting principles and financial
reporting
- Exceptional knowledge of MassHealth MMIS and claims
systems
- Knowledge of Medicare payment systems
- Proficient in MS Access, Excel and MSOffice
- Strong quantitative and analytical skills
- Exceptional oral and written communication skills -
- Exceptional organizational skills
- Excellent ability to self-motivate and self-direct
- Experience and high level of comfort with Zoom and MS
Teams
- Ability to effectively work in a remote setting#LI-VG1 -
Keywords: University of Massachusetts Medical School, Boston , Healthcare Auditor - REMOTE, Healthcare , Charlestown, Massachusetts
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