Medicare Compliance Specialist

4 weeks ago


Deerfield Beach, United States Elite Agency Health Full time
Job DescriptionJob Description

Elite Agency is expanding rapidly, and we're eager to add a Compliance Administrator to our dynamic team. In this role, you'll review past complaints and allegations, coach employees, and work to prevent future issues. Join our energetic team for the chance to lead interactive training and collaborate closely with insurance carriers and company executives Opportunities like this DON'T LAST LONG

Job Responsibilities:

  1. Review Allegations and Complaints: Investigate and analyze allegations and complaints within the company regarding Medicare compliance.

  2. Coaching and Correcting: Provide guidance and coaching to internal stakeholders to rectify compliance issues and prevent their recurrence.

  3. Interactive Training: Develop and conduct interactive training sessions to educate employees on compliance standards and best practices.

  4. Collaboration: Work closely with compliance departments of major insurance companies to ensure alignment with regulatory requirements.

  5. Administrative Support: Assist in administrative tasks such as submitting paperwork to insurance carriers and providing support to the office and sales team.

Qualifications:

  • Strong Coaching Skills.

  • Organizational and Communication Skills.

  • Punctuality and Reliability.

  • Analytical Skills.

  • Time Management.

  • Relationship Building.

  • Self-Motivation.

Experience:

  • Bachelor’s degree in a relevant field is preferred but not required.

Company DescriptionHere at Elite Agency, we believe that healthcare is a fundamental right for all individuals. As a well-established insurance provider, we specialize in navigating the complex landscape on the Health Insurance market. Our mission is to empower our clients with the knowledge and resources needed to make informed decisions about their healthcare coverage.Company DescriptionHere at Elite Agency, we believe that healthcare is a fundamental right for all individuals. As a well-established insurance provider, we specialize in navigating the complex landscape on the Health Insurance market. Our mission is to empower our clients with the knowledge and resources needed to make informed decisions about their healthcare coverage.
  • Compliance Specialist

    2 weeks ago


    Huntington Beach, United States HB Staffing Full time

    Position: Compliance Specialist Location: Huntington Beach, CA Pay: $23/hr Experience: 1 to 3 years of Medicare Audit or Compliance experience required Education: Associate's or bachelor’s degree in healthcare or equivalent preferred Type: Full-time; Contract Schedule: Monday - Friday, Day Shift HB Staffing is seeking a Compliance Specialist to join a...


  • Huntington Beach, United States HB Staffing Full time

    Position: Compliance SpecialistLocation: Huntington Beach, CAPay: $23/hrExperience: 1 to 3 years of Medicare Audit or Compliance experience requiredEducation: Associate's or bachelors degree in healthcare or equivalent preferredType: Full-time; ContractSchedule: Monday - Friday, Day ShiftHB Staffing is seeking a Compliance Specialist to join a growing and...


  • Folly Beach, United States Interim HealthCare Staffing Full time

     Medicare/Medicaid Billing SpecialistSeeking a skilled individual to oversee all aspects of patient billing and collections in our Home Health and Hospice departments. Responsibilities include performing billing functions, ensuring timely authorizations/re-authorizations, processing payments, managing collections, and conducting follow-ups. Additionally,...


  • Deerfield, United States Discover Full time

    Execution of risk-based compliance monitoring and testing in accordance with Compliance methodology and procedures. Development of test scripts to support assigned compliance reviews. Ensure test scripts are properly designed to identify non-complian Compliance Specialist, Compliance, Information Technology, Principal, Compliance Manager, Specialist,...


  • Deerfield, United States Discover Full time

    Maintains and enhances department or functional units in support of the overall compliance program components. - Assists with researching regulatory compliance requirements and evaluating the adequacy of business policies, procedures, training and re Compliance Specialist, Compliance, Principal, Compliance Manager, Specialist, Management


  • Deerfield, United States Discover Full time

    Conducts monitoring and testing activities for financial crimes compliance and/or consumer compliance topics, including tests of controls and/or key regulatory risks, exception reporting, identification of process improvements to mitigate AML, UDAAP, Compliance Specialist, Compliance, Compliance Manager, Specialist, Senior, Business Partner, Technology


  • Deerfield, United States Discover Full time

    Models, champions, and reinforces a risk culture of compliance and transparency. - Creates and maintains processes and tools to effectively manage changes (e.g., change intake, change tiering) - Partners with multiple stakeholders (e.g., business, Co Compliance Specialist, Compliance, Principal, Compliance Manager, Specialist, Management, Healthcare


  • Deerfield, United States Discover Full time

    Owns oversight of Identity Theft/ Red Flags Program, including completion of Annual Red Flags Assessment. Responsible for reporting and oversight of monthly KPI reporting at Fraud Oversight Working Group. Assists more senior compliance professionals Compliance Specialist, Project Management, Compliance, Compliance Manager, Specialist, Lead, Business Services


  • Folly Beach, SC, United States Interim HealthCare Staffing Full time

     Medicare/Medicaid Billing SpecialistSeeking a skilled individual to oversee all aspects of patient billing and collections in our Home Health and Hospice departments. Responsibilities include performing billing functions, ensuring timely authorizations/re-authorizations, processing payments, managing collections, and conducting follow-ups. Additionally,...


  • Deerfield, United States Discover Full time

    Maintains and enhances IT control testing process in support of the overall IT control testing program components. - Manages activities of the IT control testing staff (direct/indirect) and is responsible for the overall integrity and quality of the Compliance Specialist, Compliance, Principal, Compliance Manager, Specialist, IT, Healthcare


  • Deerfield Beach, United States ttg Talent Solutions Full time

    **Job Title: Safety and Compliance Specialist** **Location**:Deerfield Beach, FL **Type**:On Site **Type of Contract**:Temp to Perm **Salary**:45K to 55K per year. **About the position**: Join our team as an EHS Coordinator, where you'll play a crucial role in ensuring the comprehensive management of Environmental, Health, & Safety concerns. From...


  • Deerfield, United States The Judge Group Full time

    Our Client is currently seeking a Compliance Reporting Specialist W2 Only (No C2C) Hybrid to the Northern Suburbs of Chicago, IL. Description: Will aid in the coordination across the department and our business partners in our CMS Improvement Plan efforts. In addition, will support general compliance and risk related projects for the department....


  • Deerfield, United States The Judge Group Full time

    Our Client is currently seeking a Compliance Reporting Specialist W2 Only (No C2C) Hybrid to the Northern Suburbs of Chicago, IL. Description: Will aid in the coordination across the department and our business partners in our CMS Improvement Plan efforts. In addition, will support general compliance and risk related projects for the department....


  • Deerfield, United States The Judge Group Full time

    Our Client is currently seeking a Compliance Reporting SpecialistW2 Only (No C2C)Hybrid to the Northern Suburbs of Chicago, IL.Description: Will aid in the coordination across the department and our business partners in our CMS Improvement Plan efforts. In addition, will support general compliance and risk related projects for the department....


  • Deerfield, United States The Judge Group Full time

    Our Client is currently seeking a Compliance Reporting SpecialistW2 Only (No C2C)Hybrid to the Northern Suburbs of Chicago, IL.Description: Will aid in the coordination across the department and our business partners in our CMS Improvement Plan efforts. In addition, will support general compliance and risk related projects for the department....


  • Deerfield, United States The Judge Group Full time

    Our Client is currently seeking a Compliance Reporting SpecialistW2 Only (No C2C)Hybrid to the Northern Suburbs of Chicago, IL.Description: Will aid in the coordination across the department and our business partners in our CMS Improvement Plan efforts. In addition, will support general compliance and risk related projects for the department....


  • Deerfield, United States The Judge Group Full time

    Our Client is currently seeking a Compliance Reporting SpecialistW2 Only (No C2C)Hybrid to the Northern Suburbs of Chicago, IL.Description: Will aid in the coordination across the department and our business partners in our CMS Improvement Plan efforts. In addition, will support general compliance and risk related projects for the department....


  • Deerfield, United States The Judge Group Full time

    Our Client is currently seeking a Compliance Reporting SpecialistW2 Only (No C2C)Hybrid to the Northern Suburbs of Chicago, IL.Description: Will aid in the coordination across the department and our business partners in our CMS Improvement Plan efforts. In addition, will support general compliance and risk related projects for the department....


  • Long Beach, United States Molina Healthcare Full time

    Job Description Job Summary Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member issues in areas involving member impact and engagement including: New Member Onboarding, member plan benefits education, and the development/maintenance of Member Materials. Knowledge/Skills/Abilities Conducts...


  • Long Beach, United States Molina Healthcare Full time

    Job Description Job Summary Molina Segment leaders are responsible for the development and administration of Segment specific departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulatory requirements. Job Duties Under the...