Compliance & Policy Analyst - Apria
Lansing, MI
About the Job
At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers—and their patients—are at the heart of what we do.
Our mission is to empower our customers to advance healthcare, and our success starts with our teammates.
Owens & Minor teammate benefits include:
+ Medical, dental, and vision insurance, available on first working day
+ 401(k), eligibility after 30 days of employment
+ Employee stock purchase plan
+ Tuition reimbursement
+ Development opportunities to grow your career with a global company
JOB SUMMARY
This position is responsible for preparation and submission of documents for internal and external audits related to Medicare, Medicaid and private insurance.
ESSENTIAL DUTIES AND RESPONSIBILITIES
+ Assists in the development and implementation of compliance programs for the organization.
+ Monitors business activities for compliance with applicable rules and regulations.
+ Ensures operating manuals and procedural documents stay current when regulations change.
+ Responds to inquiries from regulatory agencies and completes required compliance documentation.
+ Responsible for obtaining, organizing, reviewing and analyzing all documents required for external and internal audits; including Medicare, Medicaid and private insurance. Responsible for reviewing audit documentation for any reimbursement issues as directed by manager.
+ Assists with creation of training materials for payors affiliated with assigned area(s) of responsibility as required
+ Provides training and support as required to ensure all involved staff are properly trained on reimbursement compliance policies and audit procedures.
+ Assists in researching policies and coordination of updates to the applicable electronic systems related to all state welfare programs affiliated with assigned area(s) of responsibility.
+ Assists with system updates, and changes as required to implement new payor guidelines or Apria policies and procedures, as requested.
+ Communicates and reinforces company policies and procedures.
+ Ensures compliance to company policies and procedures for all product lines. This includes federal, state, and local regulations.
+ Performs other related duties as directed by manager.
SUPERVISORY RESPONSIBILITIES
+ N/A
MINIMUM REQUIRED QUALIFICATIONS
Education and/or Experience
+ Bachelor’s Degree or equivalent experience is required.
+ At least three years related experience is required.
Certificates, Licenses, Registrations or Professional Designations
+ N/A
SKILLS, KNOWLEDGE AND ABILITIES
+ Excellent training and written/verbal communication skills.
+ Familiarity with medical terminology.
+ Ability to read and interpret regulations and implement as required by the Company.
+ Leadership skills and negotiation skills required.
+ General understanding of health and related types of insurance coverage, as well as the managed care industry and its operations.
General understanding of contracting structures in durable medical equipment industry.
Computer Skills
+ Basic skills in Access, Excel, PowerPoint, MS Project, Visio, Word
Language Skills
+ English (reading, writing, verbal)
Mathematical Skills
+ College level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data.
PHYSICAL DEMANDS
This is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. Employees in this position must be physically able to efficiently perform the essential functions of the position. Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform the essential functions of the position.
WORK ENVIRONMENT
Work is performed in an office setting with exposure to moderate noise.
The essential duties and responsibilities, physical requirements, and work environment described above are representative of those typically required for this position but may vary depending on staffing and business needs at specific locations. The inclusion or omission of a specific duty or physical requirement is, therefore, not determinative of whether that function is essential to a specific individual’s position.
If you feel this opportunity could be the next step in your career, we encourage you to apply. This position will accept applications on an ongoing basis.
Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.
Owens & Minor (O&M) is a global healthcare company providing innovative products and solutions across the continuum of care. Our integrated technology, products, and services empower healthcare providers and manufacturers as they make a difference in the lives of patients every day. O&M is headquartered in Richmond, Virginia and is comprised of 17,000+ global teammates. We operate within distribution, production, customer service, and sales facilities located across the Asia Pacific region, Europe, Latin America and North America. We are proud to service healthcare industry customers in 90 countries where we do business today.
Life at O&M
When you become an Owens & Minor teammate, you’re joining a diverse, vibrant organization with a focus on excellence and integrity. Guided by our shared values—Integrity, Development, Excellence, Accountability, Listening—O&M teammates strive to deliver superior service across the continuum of healthcare. O&M is committed to creating a growth-oriented culture that values each teammate’s perspective and contributions.
Our mission is to empower our customers to advance healthcare, and our success starts with our teammates.
Owens & Minor teammate benefits include:
+ Medical, dental, and vision insurance, available on first working day
+ 401(k), eligibility after 30 days of employment
+ Employee stock purchase plan
+ Tuition reimbursement
+ Development opportunities to grow your career with a global company
JOB SUMMARY
This position is responsible for preparation and submission of documents for internal and external audits related to Medicare, Medicaid and private insurance.
ESSENTIAL DUTIES AND RESPONSIBILITIES
+ Assists in the development and implementation of compliance programs for the organization.
+ Monitors business activities for compliance with applicable rules and regulations.
+ Ensures operating manuals and procedural documents stay current when regulations change.
+ Responds to inquiries from regulatory agencies and completes required compliance documentation.
+ Responsible for obtaining, organizing, reviewing and analyzing all documents required for external and internal audits; including Medicare, Medicaid and private insurance. Responsible for reviewing audit documentation for any reimbursement issues as directed by manager.
+ Assists with creation of training materials for payors affiliated with assigned area(s) of responsibility as required
+ Provides training and support as required to ensure all involved staff are properly trained on reimbursement compliance policies and audit procedures.
+ Assists in researching policies and coordination of updates to the applicable electronic systems related to all state welfare programs affiliated with assigned area(s) of responsibility.
+ Assists with system updates, and changes as required to implement new payor guidelines or Apria policies and procedures, as requested.
+ Communicates and reinforces company policies and procedures.
+ Ensures compliance to company policies and procedures for all product lines. This includes federal, state, and local regulations.
+ Performs other related duties as directed by manager.
SUPERVISORY RESPONSIBILITIES
+ N/A
MINIMUM REQUIRED QUALIFICATIONS
Education and/or Experience
+ Bachelor’s Degree or equivalent experience is required.
+ At least three years related experience is required.
Certificates, Licenses, Registrations or Professional Designations
+ N/A
SKILLS, KNOWLEDGE AND ABILITIES
+ Excellent training and written/verbal communication skills.
+ Familiarity with medical terminology.
+ Ability to read and interpret regulations and implement as required by the Company.
+ Leadership skills and negotiation skills required.
+ General understanding of health and related types of insurance coverage, as well as the managed care industry and its operations.
General understanding of contracting structures in durable medical equipment industry.
Computer Skills
+ Basic skills in Access, Excel, PowerPoint, MS Project, Visio, Word
Language Skills
+ English (reading, writing, verbal)
Mathematical Skills
+ College level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data.
PHYSICAL DEMANDS
This is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. Employees in this position must be physically able to efficiently perform the essential functions of the position. Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform the essential functions of the position.
WORK ENVIRONMENT
Work is performed in an office setting with exposure to moderate noise.
The essential duties and responsibilities, physical requirements, and work environment described above are representative of those typically required for this position but may vary depending on staffing and business needs at specific locations. The inclusion or omission of a specific duty or physical requirement is, therefore, not determinative of whether that function is essential to a specific individual’s position.
If you feel this opportunity could be the next step in your career, we encourage you to apply. This position will accept applications on an ongoing basis.
Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.
Owens & Minor (O&M) is a global healthcare company providing innovative products and solutions across the continuum of care. Our integrated technology, products, and services empower healthcare providers and manufacturers as they make a difference in the lives of patients every day. O&M is headquartered in Richmond, Virginia and is comprised of 17,000+ global teammates. We operate within distribution, production, customer service, and sales facilities located across the Asia Pacific region, Europe, Latin America and North America. We are proud to service healthcare industry customers in 90 countries where we do business today.
Life at O&M
When you become an Owens & Minor teammate, you’re joining a diverse, vibrant organization with a focus on excellence and integrity. Guided by our shared values—Integrity, Development, Excellence, Accountability, Listening—O&M teammates strive to deliver superior service across the continuum of healthcare. O&M is committed to creating a growth-oriented culture that values each teammate’s perspective and contributions.
Source : Apria