Long-Term Care Auditor I

This is a fully remote position, open to applicants in Connecticut.

📋 Description

• Interpret and apply federal and state Medicaid regulations, statutes, and policies relevant to long-term care.

• Analyze provider records across various accounting software platforms to pinpoint discrepancies.

• Identify improper payments, including those arising from inaccurate payments, collections issues, and coordination of benefits.

• Act as the main liaison for assigned long-term care providers, ensuring effective and consistent communication.

• Manage a caseload exceeding 30 in various stages of completion.

• Prepare and present provider reports while maintaining ongoing communication throughout the audit process.

• Provide regular updates and reports to management.

⛳️ Requirements

• A Bachelor’s degree is required, or an Associate’s degree accompanied by five (5) years of relevant experience.

• Strong analytical and problem-solving abilities.

• Capacity to work independently, manage competing deadlines, and juggle multiple initiatives simultaneously.

• Excellent organizational and time management skills to meet or exceed revenue and audit objectives.

• Outstanding written and verbal communication skills, with the ability to cultivate strong relationships with internal teams and long-term care providers.

• Flexibility to adapt to changing priorities and follow directions as necessary.

🏝️ Benefits

• Health benefits (medical, dental, and vision) commence on the first day of employment.

• 401(k) with company match, with additional benefits becoming available within the initial months.

• Employees can enjoy the flexible vacation policy after 90 days of employment.

• Opportunities for career growth and advancement are encouraged and supported.

• A company-issued computer is provided for work purposes.