Provider Audit And Reimbursement
Current• Responsible for settling reimbursement claims exceeding $1 million for the largest Medicare Administrative Contractor for the centers of Medicaid and Medicare Services • Responsible for analyzing audit results, developing conclusions and preparing adjustments for the cost report• Maintain quality, compliance and timeliness regulations and requirements• Prepare and document detailed reports of audit findings utilizing advanced documentation systems (OMNI, MARS, STAR, PS&R, HIGLAS, HFS) for submission to senior management and audit committee• Appointed new staff trainer for my team due to above average work efficiency, low error rate, knowledge and leadership• Communicate with outside accountants and providers to reconcile any issues with the cost report • Recruited to safety committee by senior management• Volunteer member and a leader within team building and morale committee; including planning successful team building activities and luncheons
