Compliance Specialist

Consumer Directed Services in Texas, Inc. is an affiliate of Disability Services of the Southwest. CDS in Texas is a payroll processing firm contracted by HHSC and various insurance companies, to process payroll for individuals self-directing their care.

Position Summary: The CDS Compliance Specialist is responsible for auditing employer and employee files for compliance. The Compliance Specialist will also conduct random reviews of payroll, accounts payable, and billing to ensure that payroll and billing are done correctly.

Tasks:

• Responsible for performing client, employer, and employee file audits to ensure they meet State and Federal program rule requirements.

• Assist the Manager with investigating reported potential fraud or non-compliance complaints and work to create a corrective action plan and/or a report to the Texas Office of Inspector General.

• Review the scanned files of both employers and employees for completeness. Using our audit tools, ensure that the files meet State and Federal program rules.

• Responsible for document production requests from various outside entities and communication with stakeholders/outside entities regarding these requests.

• Random audit checks of accounts payable, payroll, and billing and assistance with program year-end reconciliations between billing and payroll.

• Document areas of non-compliance to suggest necessary education for other departments.

• Suggest changes to current protocols and procedures to improve the accuracy and retrievability of documents.

• Assist in preparing for contract audits.

• Assist with annual audits and compliance checks

• Assist with department training as needed.

• Observe confidentiality policies at all times.

• Comply with federal, state, & company policies, procedures, and regulations.

• Perform other related duties as assigned.

Skills/Attributes:

• Able to work independently.

• Able to work with a team to accomplish goals and objectives.

• Excellent time management skills and multi-tasking in a fast-paced environment.

• Effective organizational skills with strong attention to detail.

• Excellent interpersonal relations skills, including active listening skills such as giving full attention to what other people are saying, taking time to understand the points being made, and asking questions as appropriate.

• Written and verbal communication skills are required to communicate effectively and appropriately to the audience’s needs.

• Must read, write, comprehend, and communicate efficiently in English.

• Willingness to work with health care professionals, clients, families, and the general public.

Experience and Education:

• High school diploma or GED required.

• Two (2) to Four (4) years of experience in auditing or a related area.

One (1) year of experience in the healthcare field is highly desired.

• Bilingual (Spanish) preferred.

• Must demonstrate competence with computer applications such as MS Word and Excel and readily learn agency-specific software.

• Must be able to type 35 wpm with 80% accuracy and 80% accuracy in Excel.

Physical Requirements:

• Ability to work up to a minimum of 40 hours per week.

• Sitting in a normal seated position for extended periods.

• Able to write up to 3 hours per day.

• Sitting in a normal seated position for extended periods.

• Reaching by extending hand(s) or arm(s) in any direction.

• Finger dexterity is required to manipulate objects with fingers rather than with words, hand(s), or arms, for example, using the keyboard.

• Communication skills using the spoken word.

• Ability to see within normal parameters.

• Ability to hear within normal range.

• Ability to move about.

Apply online with us today! https://dsswtx.jotform.com/220836269749065