Unclassified - Springfield, IL

posted 6 months ago

Full-time
Springfield, IL

About the position

The position at BlueCross BlueShield of South Carolina involves preparing and revising automated cost report data files to incorporate audit adjustments, ensuring that all cost reports meet the necessary requirements for acceptance. This role is critical in processing original filing and settlement cost reports, which are essential for the financial operations of the company. The work is conducted on-site at the Springfield, IL location, and the position is full-time, requiring 40 hours of work per week from Monday to Friday, specifically from 8:00 AM to 5:00 PM. In this role, you will be responsible for completing revisions of cost report data files by incorporating audit adjustments. You will prepare formal audit adjustment reports, ensuring that all adjustments are clearly explained and referenced according to applicable cost reimbursement regulations. A significant part of your duties will involve verifying the accuracy of original data files by comparing them to provider files, which includes preparing a list of reconciling items. You will also extract data from original cost reports received and prepare data files for submission to the cost report system to ensure compliance with regulations. Additionally, you will perform post-revision reviews of cost reports that are ready for settlement and prepare the necessary schedules to finalize settlements on revised cost reports. Reviewing incoming cost reports to determine their acceptability is another key responsibility. If any data is missing, you will need to determine if the report must be rejected and take appropriate actions to obtain the missing data in accordance with quality standards. Maintaining the database necessary to generate accurate statements of reimbursable costs is also part of your responsibilities.

Responsibilities

  • Completes revisions of cost report data files incorporating the audit adjustments.
  • Prepares the formal audit adjustment report, ensuring that all adjustments are clearly explained and referenced to applicable cost reimbursement regulations.
  • Verifies the accuracy of original data files by comparison to provider files, including preparation of an appropriate listing of reconciling items.
  • Extracts data from original cost reports received.
  • Prepares data files for submission to the cost report system to confirm compliance with regulations.
  • Performs post-revision review of cost reports ready for settlement.
  • Prepares the necessary schedules to make final settlements on revised cost reports.
  • Reviews incoming cost reports to determine acceptability.
  • Determines if reports must be rejected due to missing data and takes appropriate action to obtain the missing data.
  • Maintains the database necessary to generate accurate statements of reimbursable costs.

Requirements

  • Associate degree in Accounting or other job-related field OR Two years of accounting/financial related experience.
  • Ensures data accuracy.
  • Maintains financial records.
  • Performs clerical functions.
  • Prepares financial data.
  • Researches financial information.
  • Updates financial software.

Nice-to-haves

  • Knowledge and proficiency in Microsoft Excel (basic formulas and functions).

Benefits

  • 401(k) retirement savings plan with company match
  • Subsidized health plans and free vision coverage
  • Life insurance
  • Paid annual leave - the longer you work here, the more you earn
  • Nine paid holidays
  • On-site cafeterias and fitness centers in major locations
  • Wellness programs and healthy lifestyle premium discount
  • Tuition assistance
  • Service recognition
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