Sr. Compliance Specialist
About The Position
Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We’re the largest consumer-directed home care agency in NY State, and are continually expanding our areas of focus including operations in other states and tech-based innovations. We pride ourselves on our values which drive the level of care that we deliver to our patients: Here For You (An attitude of service, empathy, and availability) Own It (Drive and ownership) Do the Right Thing (High integrity) Be Positive (Great attitude and a can-do positive approach to challenges) Join our team and make a positive impact on the lives of others! We are looking for a Compliance Specialist for our Compliance team. This role is remote with potential travel to our main office in Lake Success, NY and/or the FreedomCare hub closest to you. Department & Position Overview: Our Compliance Team is looking for a Sr. Compliance Specialist who can support the compliance department in reviewing legal documents, conducting, and responding to internal/external audits, investigating Fraud, Waste & Abuse claims. The Compliance Specialist role will encompass a wide range of responsibilities that will aid the department in maintaining regulatory requirements.
Requirements
- Bachelor’s degree and a minimum of 3 years of experience in the healthcare industry or
- Associate degree and a minimum of 5 years experience in the healthcare industry
- Extensive knowledge of Medicaid regulations
- Experience with Exclusion screening and background checks
- Extensive knowledge of Billing and Coding preferred
Nice To Haves
- Ability to exercise good judgment in using knowledge of best practices, regulations, and knowledge of business processes
- Ability to work with limited supervision on complex matters; self-starter and takes initiative
- Demonstrated ability to be detail-oriented and thorough
- Reliable and detail oriented.
- Adept at multi-tasking
- Prior experience with internal and external audits
Responsibilities
- Conducting and responding to internal and external audits for all jurisdictions
- Assisting with conflict reporting and collaborating with our finance department to resolve conflicts
- Subpoena of Medical records and general record requests
- Investigating fraud, waste & abuse claims
- Making suggestions on next steps of FWA claims
- Be a resource for escalated concerns for all active states
- Quality assurance review
- All other compliance duties as assigned
Benefits
- We are here for you and committed to providing a best-in-class employee experience.
- We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.
- This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
