Compliance Analyst & Support
Compliance Analyst & Support
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Compliance Analyst and Support ProgressiveHealth Rehabilitation Inc. Evansville IN
We are looking for a Compliance Analyst and Support to join our ProgressiveHealth team! This person will be responsible for monitoring revenue cycle processes to ensure process integrity proper and expeditious billing optimal reimbursement superior client service and compliant operations. Immediate feedback and corrective actions are prescribed for process participants to rectify any shortfalls or implement improvement opportunities quickly.
This position requires confidentiality prioritizing and organization and reports to the Compliance Officer and Internal Corporate Counsel.
This is a Monday-Friday day shift position at our Central Operations located on Evansville INs westside. This position is a full-time in-office opportunity.
What will you be doing in this role
- Review active accounts to validate if the account has been worked by the assigned account representative in the previous month
- Review denial reports tally the amount of denials for each denial code and sort into groups by payer
- Validate payments on accounts for accuracy at contracted rate posting of payment and timeliness of the refund before the refunds are posted
- Conduct charge capture by reviewing scheduled minutes of therapist versus billed minutes ensuring full charge capture; provide timely feedback to capture missed charges
- Conduct claims reviews to ensure remittance was posted correctly per the EOB
- Review accounts to monitor the registration process
- Perform Plan of Care Certification reviews
- Perform clinical documentation chart reviews
- Create reports and implement plans of correction based on review findings if necessary
- Prepare and submit reports in a timely fashion
- Collaborate with audit and compliance functions as necessary
- Provide weekly reporting to the Compliance Manager regarding results of process monitoring
- Conduct regular ongoing monitoring of revenue cycle and front office functions
- Identify process shortfalls prioritizing inspection based on value of opportunity or risk
- Provide immediate feedback to the Revenue Cycle Director Compliance Manager Compliance Officer process participants and COO as appropriate including suggested corrective actions and timelines
- Support the Compliance Department with needed tasks
- Other duties as assigned
This does not necessarily list all responsibilities duties requirements or efforts associated with the job. While this list is intended to be an accurate reflection of the job the company reserves the right to review and modify the functions duties and requirements of the job or to require that additional or different tasks be performed as circumstances or business needs require.
Our ideal candidate will have:
- College graduate or commensurate experience
- Previous experience in monitoring auditing compliance and reimbursement
- Previous experience in the healthcare industry is ideal preferably in physical and occupational therapy services
- Exceptional organization skills self-motivation and demonstrated excellence in customer service and communication
- Ability to adapt quickly to change problem solve and be solution-oriented
- Strong sense of urgency with the ability to execute quickly and efficiently with keen attention to detail
- Highly organized with strong follow-up skills and the ability to multi-task
- A high degree of professionalism in both written and verbal communication
- Ability to work both independently and in a team environment without constant supervision
- Ability to maintain confidentiality
- Strong computer skills including proficiency with databases and Microsoft Office applications including Outlook Word PowerPoint and Excel
What you get from us:
- Opportunity for important work/life balance with flexible scheduling!
- Paid time off (PTO) & paid holidays
- A robust benefits package: medical (HSA/FSA availability) dental vision and supplemental insurance options
- Health improvement plan opportunities to lower premium costs
- FREEuse of the ProCare HealthSpot medical clinic for insured employees and dependents
- Includes medical care virtual visits with a 24/7 nurse call line lab testing and generic medications
- Company-sponsored basic life/AD&D insurance and long-term disability insurance
- 401(k) & ROTH 401(k) savings plans company match with auto-enrollment after probationary period
- Continuing professional development
- Opportunities for growth and advancement
Eligibility to Work:
This position requires candidates to be authorized to work in the United States on a full-time basis without requiring current or future sponsorship for an employment visa (e.g. H-1B OPT etc.).
About ProgressiveHealth:
ProgressiveHealth is the premier provider of a broad spectrum of occupational and non-occupational health services including on-site medical injury prevention health improvement rehabilitation management solutions and more! We are dedicated to delivering superior care and improving both patient and client outcomes. With over 1000 employees supporting operations across the United States and in Canada ProgressiveHealth continues to expand the number of client partners it serves and the lives it impacts.
An Equal Opportunity Employer
Required Experience:
IC
Employment Type
Full-Time
