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Compliance Administrator
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The Compliance Adminstrator 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.
- 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
- 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
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