Unknown Company

Audit and Regulatory Specialist

cleveland, oh • Posted 1 weeks ago
Remote Full Time General

Join Our Team!At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC). MSC is a 13-Time recipient of the NorthCoast 99 Award as a Top Workplace to work! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US. In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success!We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days.

Benefits included!Competitive Pay, Commissions, Auto & Mileage ReimbursementAdvancement OpportunitiesMedical, Dental & Vision InsuranceHSA Account w/Company ContributionPet InsuranceCompany provided Life and AD&D insuranceShort-Term and Long-Term DisabilityTuition Reimbursement ProgramEmployee Assistance Program (EAP)Employee Referral Bonus ProgramSocial Recognition ProgramEmployee Engagement OpportunitiesCALM App401k (with a matching program) / Roth IRACompany DiscountsPayactiv/On-Demand PayPaid vacation, Sick Days, YOU (Mental Health) Days and HolidaysResponsibilities and Duties:Responsible for replying to and tracking of external audit activity for a variety of payers including Medicare, Medicaid and commercial payersAppeals of denied auditsConducts internal audits to assure compliance with policy changes driven by Regulatory RequirementsDeveloping and providing employee training on compliance policies, practices, and reporting systemsIdentifying, investigating, and reporting compliance issues, irregularities, and violationsAssist with maintenance of branch records including all regulatory requirements such as licenses, etc.Tracking and responding to patient grievancesOther Projects as requiredMinimum Qualifications:Education: Graduate of an accredited high school or GED equivalence.Experience/Knowledge/Skills/Physical Requirements:DME Industry experience, preferably in a regulatory capacityAnalytical skills refer to your ability to break down a problem, gather facts, and find a logical solution.Demonstrated ability to use Smartsheet, Microsoft Excel, Word and PowerPointFamiliarity with Medicare, State Medicaid and commercial insurance billing and reimbursements as related to DMEExcellent verbal and written communication and customer relation skills.Excellent interpersonal and organizational skills (a team player).

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