DME Medicare Compliance Officer

United States Medical Supply, Inc. is a national mail-order provider of diabetic, respiratory, and other medical supplies, in addition to home delivery of some prescription medications.

In business for over 10 years, we are a growing company with a friendly work environment that values Teamwork and Quality Customer Service.

We’re looking for a dynamic, forward-thinking Compliance Officer, in order to ensure continued best practices, and our ability to meet current & projected strategic goals.

 

DME Medicare Compliance Officer

 

Job Description Highlights:

·       Proactively research, design, and implement programs, policies, and procedures to ensure that all departments are in compliance with HIPAA & accreditation standards, as well as all relevant laws & regulatory requirements.

·       Actively participate in the development and/or revision of policies & procedures required to comply, including documentation of departmental processes, report generation, and process improvement.

·       Coordinate & ensure timely completion of all required government, regulatory, and compliance documents for all departments.  Draft responses to queries by regulatory agencies.

·       Oversee and assist department in processing and responding to all incoming audit and various requests from regulatory agencies.

·       File appeals on claim / audit adjustments.

·       Document audit outcomes; perform analysis to identify areas requiring improvement; report findings to management; provide recommendations to resolve or correct any issues identified by the audit process.

·       Prepare & present regularly scheduled compliance reports to management.

·       Conduct regularly scheduled internal compliance audits on all departments, including (as necessary or required): reviewing departmental documents & data, interviewing staff, summarizing results, and formulating recommendations for corrective action.

·       Work closely with management to ensure that emerging business activities meet compliance requirements.

·       Participate in the evaluation of the quality of work processes & documentation; continually seek opportunities to design more effective processes, improve collections, maximize revenues, and create greater efficiencies.

·       Provide &/or assist in training employees to understand & comply with regulatory requirements.  Assist management in developing & updating policy & procedure manuals.  Act as an internal resource for questions regarding compliance issues.

 

Job Requirements:

·         Bachelor's degree in a related area + minimum 3 years experience in a related field; OR equivalent combination of education, training, and experience.

·         Previous auditing experience & familiarity of regulatory audits preferred.

·         Experience working for or with MAC’s / BI / PSC’s for reviewing or preparing audit requests.

·         Strong familiarity with standard concepts, practices, and procedures related to DME and Medicare regulations.

·         Ability to research, analyze, and interpret relevant laws & regulations, and link compliance to business goals & objectives.

·         Ability to analyze & document processes, and make appropriate recommendations for improvement.

·         Excellent communication skills, both written & verbal.  Ability to effectively present information & respond to inquiries from management, employees, regulatory agencies, and others as necessary.

·         Strong leadership & problem-solving skills.  Ability to manage & prioritize multiple tasks/projects, work autonomously, and meet deadlines.

·         Ability to work well in a team environment that promotes inclusiveness & communication among team members.

·         Ability to operate with considerable initiative, applying a high level of discretion & confidentiality.

 

Benefits:  Health, Dental, Vision, Life, LTD, STD, PTO (paid time off), 401(k).

 

Doral, FL (west Miami airport).

EOE.  DFWP.

 

As an important part of our application process, applicants MUST submit salary history & current salary requirements.  Thank you.