Compliance Associate II

Description:

About Our Company

Advanced Diabetes Supply® was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanced Diabetes Supply® to a national leader in the industry. Creating high-performance, adaptive teams requires a relentless commitment to hiring the best. We strive to maintain a casual, fun environment whenever possible, but we don't just play around. We work hard every day to provide a positive work culture and respectful atmosphere. The standards we set for ourselves are high, and we love to be challenged! If you enjoy working in a collaborative environment, have a passion for excellence and a bias for action, we may be just what you've been looking for.

Interested in learning more about our company and its culture? Visit us at www.northcoastmed.com

About The Position

Hours: 8:30 AM to 5:00 PM CT, Monday to Friday

Location: Birmingham, AL

The Compliance Associate II is responsible for managing Financial Hardship Assistance Program, and assisting with Medicare audits and appeals, in compliance with their respective requirements. The Compliance Associate will work within the scope of responsibilities as dictated below with guidance and support from our Operations and Compliance leadership teams.

Essential Functions

• Oversees Financial Hardship Program documents, validates documentation, and performs initial review for approval.
• Assumes responsibility for preparing and maintaining application records by updating database and scanning documents as necessary to maintain accurate data.
• Types and assembles letters, memos, and reports as necessary.
• Identifies effectiveness of Financial Hardship Program and communicates findings with Leadership.
• Hosts periodic site visits by Government and National entities with support from Compliance Leadership.
• Monitors all Signage, Licenses, and expiration dates monthly.
• Maintains a good working relationship with Building Management.
• Communicates status updates to leadership, at minimum on a weekly basis.
• Sorts and forwards mail to headquarter office.
• Ensures appropriate representation of ADS by demonstrating the greatest degree of professionalism and conduct.
• Serves as a liaison between Compliance and external departments
• Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
• Adapts quickly to frequent process changes and improvements.
• Is reliable, engaged, and provides feedback as to improve processes and policies.
• Attends all department, team, and company meetings as required.
• Embraces and exemplifies ADS core values:
  • We grow together
  • We care
  • We obsess over the customer experience
  • We commit
  • We WOW!

Other Responsibilities

• May perform any additional responsibilities or special projects as required.
• Duties and responsibilities may be subject to change based upon the needs of the department.

Requirements:

• High School diploma or equivalent
• 1-3 years' experience in a compliance capacity
• Familiarity with healthcare compliance issues, including HIPAA privacy rules & requirements
• Familiarity with a variety of auditing & appeals processes and procedures
• Knowledge of licensure and credentialing applications
• Knowledge of insurance billing and processing claims
• Proficiency in basic math and business calculations
• Working knowledge of computer/data entry with the ability to learn new systems
• Basic level of MS Office proficiency

Expected Competencies

• Friendly, professional and effective communications skills; able to calmly present solutions in challenging situations
• Effective interpersonal skills
• Clear diction and knowledge of the English language, both written and verbal
• Service-orientation and aptitude to resolve challenges with audits and/or appeals
• Self-directed accountability and reliability
• Cultural competence

Physical Demands

The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions.

While performing the responsibilities of the job, the employee is required to remain in a stationary position most of the time (stand or sit). While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is frequently required to stand, walk and reach with hands and arms. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.

Other Requirements

• Candidates must successfully pass a background check.
• Candidates must be able to provide proof of eligibility to work in the United States without support; sponsorship is not available.

Compensation Package

Pay ranges may vary depending on location. Actual compensation depends on education, experience, and relevant skills. In addition, benefits include:

• Health, Dental & Vision options
• FSA and HSA plan with Employer Contribution
• Employer paid EAP
• 401k with 4% Company Match
• Discretionary Profit-Sharing Plan
• Paid Time Off (PTO) Including 7 Paid Holidays and a Birthday Holiday
• In-house Training Programs
• A fun culture in a fast-growing organization!

Equal Opportunity Statement

Advanced Diabetes Supply® provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

PM21

PI13276ae6635b-30210-35975235

Location: Birmingham, Alabama, US

Posted Date: 12/4/2024