Accreditation Specialist REMOTE

Rotech Healthcare Inc.•Orlando, FL

1d•Remote

About The Position

We are seeking a Accreditation Specialist REMOTE that will be responsible for monitoring compliance with company ethics, standards and company and government compliance guidelines and regulations in an effort to prevent and/or detect potential fraud or abuse. 100% REMOTE Work from Home day one of employment Must live in the US

Requirements

High school diploma or GED equivalent, required
Effectively communicate in English; both oral and written
Interpret a variety of communications (verbal, non-verbal, written, listening and visual)
Maintain confidentiality, discretion and caution when handling sensitive information
Multi-task along with attention to detail
Self-motivation, organized, time-management and deductive problem solving skills
Work independently and as part of a team
Email transmission and communication
Internet navigation and research
Microsoft applications; Outlook, Word and Excel
Office equipment; fax machine, copier, printer, phone and computer and/or tablet
Lift and carry office equipment at times
Requires sitting, walking, standing, talking and listening
Requires close vision to small print on computer and/or tablet and paperwork
Background check (company-wide). Results will not be used automatically to disqualify individuals. Instead, the Company will conduct an individualized assessment that considers the duties of the position, the nature and timing of the offense, and any evidence of rehabilitation, in accordance with applicable laws.
Drug screen (when applicable for the position)
Valid driver’s license in state of residence with a clean driving record (when applicable for the position)

Nice To Haves

Two year degree from an accredited college; or equivalent combination of education and experience, required
Relevant experience in home health care, respiratory care or related health business industry, preferred

Responsibilities

Conducts audits and review of billing data to detect inconsistent billing or operational practices.
Investigates allegations of fraud/abuse made by patients, staff or other credible sources.
Conducts on-site review of facility records as required to assess adherence to company compliance standards.
Collaborates with legal counsel and other corporate executives as necessary to outline appropriate response and action plan for areas identified as risk or incompliant.
Prepares report/summary of key finding and recommendations for submission to legal counsel or other staff as appropriate.
Interfaces with company departments and field personnel to ensure compliance with company policies/procedures with regard to company compliance plan.
Participates in design and delivery of training programs to ensure Rotech employees are aware and adhering to company compliance standards.
Serves as resource for corporate and field staff for Medicare coverage and billing standards and guidelines.
Performs other duties as assigned

Benefits

Generous paid time off and paid holidays
Overtime pay for non-exempt positions (as applicable)
Commission for Account Executives
Bonus and incentive opportunities
Fixed and variable car reimbursement for Area Managers and Account Executives
Car, mileage, and telephone reimbursement (as applicable)
Employee discount and recognition programs
Employee Assistance Program (EAP)
401(k), HSA, and FSA/Dependent Care FSA
Medical, prescription, dental, and vision coverage
Life insurance, disability, accidental death, identity protection, and legal services
Meru Health mental health and Mercer SmartConnect Medicare programs
Livongo Diabetes and High Blood Pressure programs
Healthcare Bluebook and RX Savings Solutions programs
Hepatitis B (HEPB) and TB vaccinations