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Compliance Coordinator

4 months ago

Detroit, United States Med National Staffing Inc. Full time
Job DescriptionJob Description

Schedule: Remote, 8am-5pm EST or CST

Summary:

  • Position will be reviewing calls submitted through the Compliance Hotline and FWA referrals from other sources to provide an initial assessment determining if there is enough information to open a case in the case management system.
  • Coordinator will open the case in the system and pull basic claims information from Cognos.
  • Will be required to contact members to validate and substantiate complaints.
  • Will also be tracking and trending of referrals and case types as well as other administrative duties assigned to assist and support the SIU Manager and investigators.

Required:

  • Associate degree (Bachelor preferred)
  • Minimum 1-year previous admin experience in the healthcare or health insurance industry, aptitude with Microsoft Office suite (focus on Excel and PowerPoint).
  • Ability to create tables and graphic displays of information for presentation, must be able to learn and work in several systems simultaneously.
  • High level of organization and attention to detail, high degree of integrity.

Preferred: Previous experience using Care Radius and Cognos programs

Company DescriptionSince our founding in 2005, MedNational has grown into a full-service Healthcare Human Capital Solutions Organization. We are proud to deliver our traditional permanent placement and contract service opportunities.

MedNational professionals experience career opportunities in the following niche areas:
• Hospitals
• Physicians’ offices
• Nursing care facilities
• Home healthcare services
• Government agencies
• Educational services
• Support services
• Schools
• Community centers
• Urgent care centers
• Offices

Today, we conduct business in all corners of North America, and continue to be laser focused on our mission. We deliver our clients with career oriented and quality-focused health care professionals while enriching the lives of these professionals during their period of transition to a new challenge and opportunity.Company DescriptionSince our founding in 2005, MedNational has grown into a full-service Healthcare Human Capital Solutions Organization. We are proud to deliver our traditional permanent placement and contract service opportunities.\r
\r
MedNational professionals experience career opportunities in the following niche areas:\r
• Hospitals\r
• Physicians’ offices\r
• Nursing care facilities\r
• Home healthcare services\r
• Government agencies\r
• Educational services\r
• Support services\r
• Schools\r
• Community centers\r
• Urgent care centers\r
• Offices\r
\r
Today, we conduct business in all corners of North America, and continue to be laser focused on our mission. We deliver our clients with career oriented and quality-focused health care professionals while enriching the lives of these professionals during their period of transition to a new challenge and opportunity.