Responsibilities and Duties:

• Responsible for replying to and tracking of external audit activity for a variety of payers including Medicare, Medicaid and commercial payers
• Appeals of denied audits
• Conducts internal audits to assure compliance with policy changes driven by Regulatory Requirements
• Developing and providing employee training on compliance policies, practices, and reporting systems
• Identifying, investigating, and reporting compliance issues, irregularities, and violations
• Assist with maintenance of branch records including all regulatory requirements such as licenses, etc.
• Tracking and responding to patient grievances
• Other Projects as required

• DME Industry experience, preferably in a regulatory capacity
• Analytical skills refer to your ability to break down a problem, gather facts, and find a logical solution.
• Demonstrated ability to use Smartsheet, Microsoft Excel, Word and PowerPoint
• Familiarity with Medicare, State Medicaid and commercial insurance billing and reimbursements as related to DME
• Excellent verbal and written communication and customer relation skills.
• Excellent interpersonal and organizational skills (a team player).