Compliance Analyst
Location: Pittsburgh, Pennsylvania
Description: ZOLL Medical Corporation is at present recruited Compliance Analyst right now, this position will be ordered in Pennsylvania. For complete informations about this position opportunity please read the description below. The Compliance Analyst is an integral member of the reimbursement team and has primary responsibility to ensure compliance with all Centers for Medicare & Medicaid federal regu! latory requirements. This is achieved by performing quarterly claims audits, working with internal and external staff to correct performance deficiencies, identifying internal areas for improvement, serving as a compliance contact and interpreting CMS requirements.
Essential Duties and Responsibilities:
Summarize and communicate regular audit updates to senior / executive management.
Documentation: Obtain necessary documentation (updated medical order, clinical notes, patient agreement, etc.)
Patient / Physician / Sales Interaction: Contact patient, physician office, and territory manager to relay and/or obtain pertinent information and/or documents.
Medicare Telephone Hearings and Administrative Law Judge (ALJ) Requests: Submit request along with supporting documentation to CMS; track requests; follow-up with CMS on requests that have not been scheduled; prepare files for hearings and ALJ meetings, and participat! e in those meetings.Ability to manage multiple priorities and ! projects and meet deadlines;
Excellent oral and written communication skills;
Demonstrated experience developing and delivering training programs and making presentations to staff and providers.
Tracking / Monitoring audit activity
Performs other duties as assigned by Management.
Required Skills
Required Experience
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job.
Educations and/or Experience:
Bachelor's Degree in Business Administration, Public Health, or Healthcare Administration.
Prior Medicare DME billing / collections experience.
Superior communication and customer service skills, and ability ! to handle multiple tasks simultaneously under strict deadlines.
Proficiency in MS Office Suite.
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If you were eligible to this position, please give us your resume, with salary requirements and a resume to ZOLL Medical Corporation.
Interested on this position, just click on the Apply button, you will be redirected to the official website
This position will be opened on: Thu, 04 Jul 2013 08:01:58 GMT