Compliance Administrator

Compliance Administrator

The Compliance Administrator is responsible for ensuring employees comply with various Federal and State health care regulations and policies, and for all aspects of Medicare and Medicaid Provider Enrollment.

Responsibilities:

• Responsible for all aspects of Medicaid and Medicare Provider Enrollment
• Communicates Medicare/Medicaid policy and procedures to field and staff employees
• Answers questions from employees on existing Medicare/Medicaid Policy
• Responds to calls regarding interpretation of policies and regulations, providing explanations of policies and what is permitted under same
• Communicates Medicare/Medicaid updates and policy changes to the field managers and staff

Preferred Knowledge and Experience:

• Knowledge of FDA, HIPAA, Anti-Kickback statutes/Stark law, Safe Harbor laws, and/or DOT regulations not required, but would be preferred
• Prior experience with durable medical equipment, medical oxygen, long-term care, or hospice organizations preferred
• Previous experience interacting with all levels of management required
• Must be a self-starter, able to take initiative
• Proactive problem solver
• Ability to multitask and work well under pressure
• Strong knowledge of Microsoft Office required
• Excellent organizational, analytical, communication, and customer service skills required
• Excellent attention to detail and follow-up skills required
• Must uphold organizational values and adhere to strict ethical standards

Education and Experience:

• High school diploma or equivalent required
• Some college coursework preferred
• Paralegal certification preferred
• At least 1-3 years of experience in compliance administration, or a similar role required
• Relevant education considered in lieu of experience
• Requires 3-5 years homecare experience