Compliance Analyst & Support

ProgressiveHealth Career•Evansville, IN

7d•Onsite

About The Position

Compliance Analyst and Support – ProgressiveHealth Rehabilitation, Inc. – Evansville, IN We are looking for a Compliance Analyst and Support to join our ProgressiveHealth team! This person will be responsible for monitoring revenue cycle processes to ensure process integrity, proper and expeditious billing, optimal reimbursement, superior client service, and compliant operations. Immediate feedback and corrective actions are prescribed for process participants to rectify any shortfalls or implement improvement opportunities quickly. This position requires confidentiality, prioritizing, and organization and reports to the Compliance Officer and Internal Corporate Counsel. This is a Monday-Friday, day shift position at our Central Operations located on Evansville, IN’s westside. This position is a full-time, in-office opportunity. What will you be doing in this role? This does not necessarily list all responsibilities, duties, requirements, or efforts associated with the job. While this list is intended to be an accurate reflection of the job, the company reserves the right to review and modify the functions, duties, and requirements of the job or to require that additional or different tasks be performed as circumstances or business needs require. Our ideal candidate will have: What you get from us: Eligibility to Work: This position requires candidates to be authorized to work in the United States on a full-time basis without requiring current or future sponsorship for an employment visa (e.g., H-1B, OPT, etc.). About ProgressiveHealth: ProgressiveHealth is the premier provider of a broad spectrum of occupational and non-occupational health services including on-site medical, injury prevention, health improvement, rehabilitation management solutions, and more! We are dedicated to delivering superior care and improving both patient and client outcomes. With over 1,000 employees supporting operations across the United States and in Canada, ProgressiveHealth continues to expand the number of client partners it serves and the lives it impacts. An Equal Opportunity Employer

Requirements

College graduate or commensurate experience
Previous experience in monitoring, auditing, compliance, and reimbursement
Exceptional organization skills, self-motivation, and demonstrated excellence in customer service and communication
Ability to adapt quickly to change, problem solve, and be solution-oriented
Strong sense of urgency with the ability to execute quickly and efficiently with keen attention to detail
Highly organized with strong follow-up skills and the ability to multi-task
A high degree of professionalism in both written and verbal communication
Ability to work both independently and in a team environment, without constant supervision
Ability to maintain confidentiality
Strong computer skills, including proficiency with databases and Microsoft Office applications, including Outlook, Word, PowerPoint, and Excel
This position requires candidates to be authorized to work in the United States on a full-time basis without requiring current or future sponsorship for an employment visa (e.g., H-1B, OPT, etc.)

Nice To Haves

Previous experience in the healthcare industry is ideal, preferably in physical and occupational therapy services

Responsibilities

Review active accounts to validate if the account has been worked by the assigned account representative in the previous month
Review denial reports, tally the amount of denials for each denial code, and sort into groups by payer
Validate payments on accounts for accuracy at contracted rate, posting of payment, and timeliness of the refund before the refunds are posted
Conduct charge capture by reviewing scheduled minutes of therapist versus billed minutes, ensuring full charge capture; provide timely feedback to capture missed charges
Conduct claims reviews to ensure remittance was posted correctly per the EOB
Review accounts to monitor the registration process
Perform Plan of Care Certification reviews
Perform clinical documentation chart reviews
Create reports and implement plans of correction based on review findings, if necessary
Prepare and submit reports in a timely fashion
Collaborate with audit and compliance functions as necessary
Provide weekly reporting to the Compliance Manager regarding results of process monitoring
Conduct regular, ongoing monitoring of revenue cycle and front office functions
Identify process shortfalls, prioritizing inspection based on value of opportunity or risk
Provide immediate feedback to the Revenue Cycle Director, Compliance Manager, Compliance Officer, process participants, and COO, as appropriate, including suggested corrective actions and timelines
Support the Compliance Department with needed tasks
Other duties as assigned

Benefits

Opportunity for important work/life balance with flexible scheduling!
Paid time off (PTO) & paid holidays
A robust benefits package: medical (HSA/FSA availability), dental, vision, and supplemental insurance options
Health improvement plan opportunities to lower premium costs
FREE use of the ProCare HealthSpot medical clinic for insured employees and dependents
Includes medical care, virtual visits with a 24/7 nurse call line, lab testing, and generic medications
Company-sponsored basic life/AD&D insurance and long-term disability insurance
401(k) & ROTH 401(k) savings plans + company match with auto-enrollment after probationary period
Continuing professional development
Opportunities for growth and advancement