5 Compliance Specialist Jobs in Kansas, MO
Beacon Mental Health is Hiring a Compliance Specialist Near Kansas, MO
Essential Duties And ResponsibilitiesThe essential functions include, but are not limited to the following:
- Reviews monitoring reports to determine possible areas of non-compliance; follows up with staff as necessary to correct errors.
- Provides back-up for documentation billing corrections ticket system.
- Provides technical assistance training on EMR system as needed as related to billing issues.
- Reviews weekly security audits to ensure compliance with agencies policies and procedures. Reports information to the QI/Compliance Manager.
- Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all providers who provide consumer care for the agency.
- Responsible for ensuring providers are credentialed with health plans.
- Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.
- Coordinate with insurance companies to ensure practitioners are appropriately credentialed.
- Monitoring training requirements for credentialed staff/providers.
- Serves as a member of the Compliance Committee. Takes minutes at quarterly meetings and helps follow-up on outstanding items.
- Maintain knowledge of agency technology programs and/or systems needed to do the job and use them effectively.
- Other duties and/or responsibilities may be assigned by supervisor.
High School diploma or equivalent required.
Experience1 to 3 years previous experience required
Required Knowledge3 to 5 years previous experience preferred
- Knowledge of electronic medical record systems
- Computer literacy with proficiency in Microsoft Office
- Prior credentialing experience strongly preferred
- Knowledge of federal, state, and insurance company regulations and contract requirements affecting compliance in a healthcare setting
- Ability to communicate effectively, both orally and in writing, to both internal and external customers.
- Ability to organize, develop, implement, monitor, and evaluate work plan goals and performance objectives.
- Ability to interpret and evaluate information
- Demonstrated ability to exercise independent judgment and to meet deadlines
Job Summary
Full Time
$96k-124k (estimate)
05/11/2024
06/08/2024
The job skills required for Compliance Specialist include Microsoft Office, Communicates Effectively, Billing, etc. Having related job skills and expertise will give you an advantage when applying to be a Compliance Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Compliance Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Compliance Specialist positions, which can be used as a reference in future career path planning. As a Compliance Specialist, it can be promoted into senior positions as a Compliance Specialist IV that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Compliance Specialist. You can explore the career advancement for a Compliance Specialist below and select your interested title to get hiring information.
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