![Tenet Global Business Center, Inc.](https://media.trabajo.org/img/noimg.jpg)
SR Reimbursement Specialist
2 weeks ago
Pharmaceuticals & Medical Devices (Healthcare & Medical)
Full time
Add expected salary to your profile for insights
The individual will be responsible for addressing all Medicare and Medicaid audits assigned to them from the Director of Audit. The Medicare audit assignments will consist of the following types of audits: the standard/desk review; Worksheet S-10; Wage Index; Interns & Residents ("IRIS") and other audits as received from the Medicare Administrative Contractors ("MAC"). The Medicare and Medicaid audits must be addressed in a timely and accurate manner, and the individual will work closely with Tenet hospitals' Controllers and/or CFOs to obtain the necessary support/documentation to address issues raised and to resolve such issues prior to the MAC's issuance of the Final Medicare adjustments/settlement.
After receipt of each Medicare final settled cost report, the individual will be responsible for reviewing the final audit adjustments and preparing a list of the adjustments to be submitted to the Government Programs' Appeals/Reopening team. This list will include the audit adjustment(s) to be pursued through appeal and/or reopening, a description of the issue/dispute, and be supplemented with the MAC workpapers.
Qualifications:
- Bachelor's Degree in Accounting or Business
- The position also requires a working knowledge of the Medicare cost report, the Medicare regulations and the Provider Reimbursement Manuals.
A leading fortune 500 Hospital and Healthcare company just opened it's Philippine office in Bonifacio Global City, Taguig. Be part of the pioneer shared services team and make a positive impact to the community.
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our company is a healthcare services company headquartered in Dallas, Texas. We operate 65 hospitals and approximately 500 other healthcare facilities across the US. The company is listed in the NYSE.
A leading fortune 500 Hospital and Healthcare company just opened it's Philippine office in Bonifacio Global City, Taguig. Be part of the pioneer shared services team and make a positive impact to the community.
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our company is a healthcare services company headquartered in Dallas, Texas. We operate 65 hospitals and approximately 500 other healthcare facilities across the US. The company is listed in the NYSE.
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