Sr. Compliance Specialist
About Us
FreedomCare is a healthcare company dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S. We pride ourselves on our values which drive the level of care that we deliver to our patients:
- Here For You (An attitude of service, empathy, and availability)
- Own It (Drive and ownership)
- Do the Right Thing (High integrity)
- Be Positive (Great attitude and a can-do positive approach to challenges)
About the Role
Our Compliance Team is looking for a Sr. Compliance Specialist who can support the compliance department in reviewing legal documents, conducting and responding to internal/external audits, and investigating Fraud, Waste & Abuse claims. The role encompasses a wide range of responsibilities that will aid the department in maintaining regulatory requirements.
Responsibilities
- Conducting and responding to internal and external audits for all jurisdictions
- Assisting with conflict reporting and collaborating with our finance department to resolve conflicts
- Subpoena of medical records and general record requests
- Investigating fraud, waste & abuse claims
- Making suggestions on next steps of FWA claims
- Being a resource for escalated concerns for all active states
- Quality assurance review
- All other compliance duties as assigned
Requirements
- Bachelor’s degree and a minimum of 3 years of experience in the healthcare industry or Associate degree and a minimum of 5 years experience in the healthcare industry
- Extensive knowledge of Medicaid regulations
- Experience with Exclusion screening and background checks
- Extensive knowledge of Billing and Coding (preferred)
Skills
- Ability to exercise good judgment in using knowledge of best practices, regulations, and business processes
- Ability to work with limited supervision on complex matters; self-starter and takes initiative
- Demonstrated ability to be detail-oriented and thorough
- Reliable and detail-oriented
- Adept at multi-tasking
- Prior experience with internal and external audits
Benefits
- Competitive compensation
- Medical benefits
- Retirement plans
- Wellness programs
- Fun company events
- Ongoing learning opportunities to grow your career
At FreedomCare, we celebrate diversity and are committed to creating an inclusive environment for all employees.
Pay
The base pay range for this role is between $25.00 and $28.00 an hour at the commencement of your first year of employment. Compensation decisions are dependent upon a variety of factors including, but not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. The overall compensation range is $26—$30 USD.