Auditor 4.14.25

The MO HealthNet Division has an opening for an Auditor in the Nursing Facility program within the Institutional Reimbursement Unit (IRU) located in Cole County.

Semi-monthly salary: $2,322.31

Job Location: This position is located at the Howerton State Office Building ; 615 Howerton Court, Jefferson City, MO.

The Department of Social Services partners with families and communities to protect children, rehabilitate youth and move families to self-sufficiency so that Missourians can lead safe, healthy and productive lives.

Why you’ll love this position: You will have the opportunity to work with a dedicated, first-rate team to build a best-in-class Medicaid program that addresses the needs of Missouri’s most vulnerable in a way that is financially sustainable. IRU oversees the Medicaid reimbursement for institutional healthcare providers which includes nursing facilities and clinics. IRU reimburses these Medicaid providers for healthcare services they provide to Medicaid participants. This Auditor position is in the nursing facility unit. You will work in a small cohesive unit alongside other helpful team members in many different sections of the MO HealthNet Division (MHD) and the Department of Social Services (DSS) as well as other State agencies and external parties. Flextime and telework are possibilities with this position.

• Review various reports submitted by providers by analyzing for reasonableness and accuracy, researching issues, and adjusting as necessary based on established policies and procedures.
• Assist with determining and processing reimbursement changes including re-processing claims to reflect the rate change.
• Assist with the administration of the Nursing Facility Reimbursement Allowance (NFRA), which is the nursing facility health care provider tax, including setting up NFRA account receivables, preparing invoices, reconciling NFRA accounts, sending past due notices, and preparing cycle reports.
• Update systems and files for nursing facility changes.
• Read and apply regulations, policies, and technical guidance to perform essential duties.
• Work with providers and their agents by phone, email, fax, etc. to collect information and answer questions while continuing to establish and maintain a friendly, positive rapport,
• Assist team members and perform other projects as needed.

Minimum Qualifications:

Bachelor’s degree and 1-3 years of relevant experience and/or appropriate certification. (Substitutions may be allowed.)

Preferred Qualifications:

• A Bachelor's degree from an accredited college or university with a minimum of 15 earned credit hours in one or a combination of the following: Accounting, Finance, Economics, Public or Business Administration, or a closely related field.
• Work independently and be able to contribute to the team.
• Good analytical skills with attention to detail.
• Be well organized and keep track of duties and projects to bring to a successful closure.
• Maintain effective working relationships with State agency co-workers, providers/provider’s accountants, and other parties requiring information or assistance.
• Strong verbal and written communication skills to relay information to providers, MHD team, and others.

Lack of post-secondary education will not be used as the sole basis denying consideration to any applicant.

The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here .

If you have questions about this position, please contact: Vickie Russell at Vickie.J.Russell@dss.mo.gov . If you experience accessibility issues while applying, please contact Courtney Hall at Courtney.A.Hall@dss.mo.gov

Recruitment Area : All qualified applicants.

Application Deadline : April 28, 2025

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• State of Missouri

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