Cost Report Auditor

WPS Health Solutions; Sioux Falls (SD); Remote; USD 47,000 - 51,000; Full time

Job summary

An established industry player is seeking a meticulous Cost Report Auditor to ensure the efficiency of the Medicare program. This role involves conducting audits and reviews while working within a supportive team dedicated to maintaining high standards. With a focus on detail and compliance, you will gain valuable experience in healthcare reimbursement and contribute to a culture that values employee engagement and growth. Enjoy the flexibility of remote work while making a meaningful impact in the lives of military personnel and Medicare beneficiaries.

Benefits

Remote work options

Performance bonus opportunities

401(k) with matching

Competitive paid time off

Health and dental insurance from DAY 1

Professional development programs

Qualifications

• 1+ years of experience in Fiscal Auditing, Accounting, or Finance.
• Bachelor's Degree in a related field or equivalent work experience.

Responsibilities

• Complete audits desk reviews and reimbursement reviews.
• Analyze expense and revenue data for compliance.
• Prepare audit adjustment reports based on CMS requirements.

Skills

Fiscal Auditing

Accounting

Finance

Attention to Detail

Problem Solving

Education

Bachelor's Degree in related field

Bachelor's Degree in Accounting or Finance

Job description

Description

Our Cost Report Auditors complete audits desk reviews and reimbursement reviews in accordance with government requirements for Centers for Medicare & Medicaid Services (CMS) to ensure accurate reporting of statistical and financial data reported on Medicare Cost Report. This role has a direct impact on confirming the US Tax funded Medicare program is working efficiently and is cost effective. Start Date in June 2025

Salary Range
$47,000-$51,000
The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, experience and may fall outside the posted range. We ARE open to negotiation and consideration of experience, specifically experience with Medicare Audits.

We are open to remote work in the following approved states:
Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin

As an auditor, you will:

• Lead and participate in completing Uniform Desk Review/Audit Program within interim and monthly production goals.


• Prepare audit adjustment reports and detailed sets of work papers based on Government Auditing Standards and CMS requirements, analysis, and audit/desk review of provider's cost report.


• Analyze expense and revenue data for reasonableness and compliance, review provider pricing policies for consistency in charges, and examine statistical data for cost allocations.


• Participate in work groups, providing input on work paper guidelines, techniques, and requirements.


• Work with and learn current CMS regulations and WPS audit procedures.


• Defend reimbursement or audit decisions made during desk review and audit based on documented regulations.

How do I know this opportunity is right for me? If you:

• Thrive in a fast-paced environment that is deadline driven.


• Are extremely detailed oriented and can identify inaccuracies easily.


• Feel comfortable defending your decisions with data and facts.


• Excel at math and problem solving.


• Want to work in an environment with strong work life balance with flexible work hours.


• Are interested in working remotely in the comfort of your home - no driving time, gas costs, or wear and tear on your vehicle.

What will I gain from this role?

• Work experience with a management team that is committed to maintaining a high performing work culture.


• Learn basic auditing principles that can spark career growth.


• A thorough introduction to healthcare reimbursement.


• Working remotely in the comfort of your home - no driving time, gas costs, or wear and tear on your vehicle.


• Experience in an environment that serves our Nation's military, veterans, Guard and Reserves along with their families. In addition, we also serve Medicare beneficiaries and providers.


• Working in a continuous performance feedback environment.

Minimum Qualifications

• Bachelor's Degree in related field or equivalent post high school and/or related work experience.


• 1 or more years of experience with Fiscal Auditing, Accounting or Finance in a corporate environment.

Preferred Qualifications

• Bachler's degree in Accounting or Finance background.


• Demonstrated understanding of accounting principles, auditing theories, or math concepts obtained through formal education and/or work-related experience.


• Medicare Cost Report experience.


• Healthcare experience.


• High attention to detail.

Remote Work Requirements

• Wired (ethernet cable) internet connection from your router to your computer


• High speed cable or fiber internet


• Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net)


• Please review Remote Worker FAQs for additional information

Benefits

• Remote and hybrid work options available


• Performance bonus and/or merit increase opportunities


• 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)


• Competitive paid time off


• Health insurance, dental insurance, and telehealth services start DAY 1


• Professional and Leadership Development Programs


• Review additional benefits: (https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml)

Who We Are

WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than 75 years. Proud to be military and veteran ready.

Culture Drives Our Success

WPS' Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.

We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.