The Compliance Administrator is responsible for ensuring employees comply with various Federal and State health care regulations and policies, and for all aspects of Medicare and Medicaid Provider Enrollment.

Responsible for all aspects of Medicaid and Medicare Provider Enrollment
Communicates Medicare/Medicaid policy and procedures to field and staff employees
Answers questions from employees on existing Medicare/Medicaid Policy
Responds to calls regarding interpretation of policies and regulations, providing explanations of policies and what is permitted under same
Communicates Medicare/Medicaid updates and policy changes to the field managers and staff

Qualifications

Knowledge of FDA, HIPAA, Anti-Kickback statutes/Stark law, Safe Harbor laws, and/or DOT regulations not required, but would be preferred
Prior experience with durable medical equipment, medical oxygen, long-term care, or hospice organizations preferred
Previous experience interacting with all levels of management required
Must be a self-starter, able to take initiative
Proactive problem solver
Ability to multitask and work well under pressure
Strong knowledge of Microsoft Office required
Excellent organizational, analytical, communication, and customer service skills required
Excellent attention to detail and follow-up skills required
Must uphold organizational values and adhere to strict ethical standards

Education and Experience:

High school diploma or equivalent required
Some college coursework preferred
Paralegal certification preferred
At least 1-3 years of experience in compliance administration, or a similar role required
Relevant education considered in lieu of experience
Requires 3-5 years homecare experience

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