Senior Compliance Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $25 - $28 / hour

⏰ Full Time

🟠 Senior

🚔 Compliance

👻 Ghost score 0%

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FreedomCare

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🌍 Social Impact

Healthcare • Healthcare Insurance • Social Impact

FreedomCare is a rapidly growing in-home care provider in the United States, driven by Medicaid funding. The company offers a unique home care service that allows patients to choose their caregivers, who can be a family member or friend, and ensures that caregivers are paid promptly after their shifts through a handy app. Operating across multiple states including New York, Nevada, Missouri, Pennsylvania, and others, FreedomCare focuses on providing trusted care in the comfort of the patient's home, improving satisfaction and reducing hospital visits. Their program stands out for its high customer satisfaction and number of positive reviews, reflecting the impact and effectiveness of their services in enhancing the well-being of both caregivers and patients.

📋 Description

• Support the compliance department by reviewing legal documents • Conduct and respond to internal and external audits for all jurisdictions • Assist with conflict reporting and collaborate with the finance department to resolve conflicts • Subpoena medical records and handle general record requests • Investigate fraud, waste, and abuse claims • Make suggestions on next steps for FWA claims • Serve as a resource for escalated concerns across all active states • Perform quality assurance reviews • Complete other compliance duties as assigned • Maintain 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 of experience in the healthcare industry • Extensive knowledge of Medicaid regulations • Experience with exclusion screening and background checks • Prior experience with internal and external audits • Extensive knowledge of billing and coding preferred • Ability to exercise good judgment using best practices, regulations, and business processes • Ability to work with limited supervision on complex matters • Self-starter who takes initiative • Detail-oriented and thorough • Reliable and detail oriented • Adept at multi-tasking

🏖️ Benefits

• Medical benefits • Retirement plans • Wellness programs • Fun company events • Ongoing learning opportunities • Competitive compensation • Inclusive work environment • Equal Opportunity Employer