Compliance Specialist

About the role

The Compliance Specialist will work with the Patient Care Coordinator and other administrative staff to oversee and monitor all aspects of coordinating patient care, including maintaining all documentation while the patient is enrolled in the Center. This position will acquire approval for treatment and act as the Privacy Officer. This position may also assist in oversight of the classrooms, as needed.

Responsibilities

• Follow Arkids Pediatric Day Centers’ Employee Handbook, Management Policies and Procedures Manual, and Medical Policies & Procedures Manual
• Maintain standards set forth by Arkansas Minimum Licensing, Division of Provider Services and Quality Assurance (DPSQA), Medicaid, Arkansas Department of Health, EQHealth (or other gatekeeper to Medicaid), and all other regulatory agencies
• Maintain open communication with parents, families, visitors, all Arkids Pediatric Day Centers’ personnel, and outside contacts
• Attend and actively participate in job-related functions
• Represent the program to parents/guardians, visitors, and the public in a positive way
• Make home visits (with other staff) as needed for various problems such as patient absences, assessment for environmental risk, to obtain required documentation, signatures, etc.
• May assist with marketing visits
• May fill in for other positions (ex. cover the front desk for the Administrative Assistant, cover breaks for Classroom Staff)
• May assist with loading/unloading the van
• Perform light housekeeping duties
• Submit any required authorizations or extension of benefits (EOB) to the gatekeeper(s) to Medicaid)
• Manage all Medicaid denials and appeals
• Receive all therapy evaluations and monitor all re-evaluations, ensuring copies of evaluations are forwarded to parents/guardians and PCPs when completed
• Manage the storage system for patient medical records and other documentation
• Assist with managing the thinning of all active patient charts, as needed
• Create a hard chart on each patient within 1 week of enrollment
• Complete chart reviews on all patients after 2 weeks of enrollment and every 90 days thereafter, including 10% in discharge patients
• Issue deficiency sheets, as needed, and ensures all corrections are completed by the responsible individual within 72 hours, as indicated by their signature
• Initiate and manage the discharge process for all patients discharged from the Center, ensuring all required notifications are sent out appropriately
• Actively participate in weekly Administrative Meetings
• Auxiliary duties as assigned

Qualifications

• BSE in Early Childhood Education or related field with emphasis on Early Childhood
• Minimum of 6 months of experience working with young children in a group-care setting & documentation of 12 hours of coursework in early Childhood, Child Development, Special Education, Elementary Education, Child and Family Studies, or has completed state accreditation in Early Childhood Special Education
• 5 years of experience in Early Childhood Education or related field preferred
• Criminal Record Check, Arkansas Child & Adult Maltreatment Regulatory Checks, FBI Regulatory Check, including National Sex Offender Registry
• Pass a drug screen (upon hire, annually, and/or randomly)
• Valid Arkansas Driver’s License, including a P endorsement if needed
• Clear Driving Record

Skills

• Effective communication
• Ability to work with children
• Ability to handle multiple tasks in a very busy environment
• Ability to carry out instructions
• Ability to clean efficiently and timely
• Ability to lift up to 50 lbs
• Ability to bend, stoop, stand, walk, pull, and reach for several hours per day
• Basic computer skills

Benefits

• Paid Time Off
• Medical
• Vision
• Dental
• Supplemental Insurances
• Life Insurance
• 401k*