Compliance Coordinator

Job not on LinkedIn

November 6

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Logo of All Care To You

All Care To You

Management Service Organization (MSO)

51 - 200 employees

Founded 2018

📋 Description

• Assists the Compliance Department by preparing, reviewing and evaluating compliance files and privacy issues/concerns within the organization. • Serves as the main ACTY Letter App resource and maintains all letter template and attachments in coordination with the health plans. • Provides administrative support to the compliance department, including reporting, communication, audit file coordination, etc. • Responsible for preparing claims, utilization management, and general compliance files. • Reviews files for inconsistencies and quality assurance prior to submission. • Coordinates and submits reports for all health plans. • Maintains master compliance reporting spreadsheet. • Develops and maintains compliance policies and procedures. • Collaborates with other committees to direct compliance issues. • Coordinates with Healthcare Information Technology team on compliance reporting and/or audit related deliverables. • Maintains tracking logs and systems for uniform handling of compliance violations. • Assists with the development of Corrective Action Plans (CAPs).

🎯 Requirements

• Bachelor’s Degree, relevant experience in lieu of degree. • 2 years’ experience within a healthcare administration organization. • Ability to work independently as well as contribute to a positive team atmosphere. • Authorization and Claim processing understanding preferred. • EZ-Cap experience preferred. • Proficiency using Outlook, Microsoft Teams, Zoom, Microsoft Office (including Word and Excel) and Adobe. • Detail oriented and highly organized. • Strong ability to multi-task, project management, and work in a fast-paced environment. • Strong ability in problem-solving. • Ability to self-manage, strong time management skills. • Ability to work in an extremely confidential environment. • Strong written and verbal communication skills.

🏖️ Benefits

• 100% employer paid medical, vision, dental, and life coverage for our employees. • Paid holiday, sick time, vacation time, birthday time off. • 401k plan. • Additional employee paid coverage options available.

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