Compliance Specialist

Why join us?

We’re on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions, we empower our customers to express themselves, connect with the world, and live richer lives.

At Tobii Dynavox, you can grow your career within a dynamic, global company that has a clear, impactful purpose - with the flexibility to also do what truly matters to you outside of work. What’s more, you’ll be part of a work culture where collaboration is the norm and individuality is welcomed.

As a member of our team, you’ll have the power to make it happen. You’ll solve challenges, deliver solutions and develop new, efficient processes that make a direct impact on our customers’ lives.

What you'll do:

The Compliance Specialist will be primarily responsible for completing the internal audits quality reviews as required by the Compliance Plan, managing corrective actions, and communicating with the monitored departments. Secondary responsibilities include responding to outside audit requests, working with insurance policies, and creating internal policies that align with department operations.

As a Compliance Specialist, you will be responsible for:

• Analyze, update, test, and train on internal policies related to compliance and audit findings
• Audit Ensure internal processes for Funding and Billing and Collections comply with internal processes through quality reviews
• Audit Ensure Solutions Consultants comply with internal processes through regular quality reviews internal processes for Solutions Consultants
• Prepare audit quality review summaries and present findings with improvement suggestions to affected departments
• Open, follow, and manage Corrective Action Plans stemming from internal auditing as needed
• Ensure proper compliance with OIG requirements for exclusion checks of employees, report to payers as needed
• Respond to outside audit requests, gather required documentation, and review results to ensure internal policies and processes comply with payer requirements
• Audit as needed questionable documentation or practices.
• Assist with policy review for Medicare, Medicaid, and Private Insurance
• Work with Compliance Manager to determine states/payers that require policy changes to include adoption of coverage for Speech Generating Devices
• Maintain policies and checklists with team members
• Communicate policy changes to key departments/stakeholders
• Research proposed changes to internal policy for compliance with federal guidance and payer requirements
• Create, modify, and update internal policy as needed to meet business or compliance needs
• Collaborate with cross-functional teams to provide updates on policy changes
  
  

What you'll bring:

• Bachelor’s Degree or 3 years equivalent experience
• 3 years of third-party payer experience
• Knowledge of DME Billing and Prior Authorizations
• Ability to work cooperatively as a member of a team
• Demonstrated ability to communicate with clinical and reimbursement specialists
• Ability to communicate at all levels within an organization
• ERP/CRM experience preferred
• MS Office, including MS Word and Excel
• Adobe Acrobat
• Understanding of FTP processes preferred
• Excellent organizational abilities
• Prioritization skills and deadline management
• Detail oriented
• Medical terminology knowledge
• Ability to work with interruptions
• Thrive in a fast-paced work setting
  
  

Minimal Travel May Be Required

Apply today!

We believe in empowering individuals - including our own employees - to reach their full potential. So, if you want to change lives while growing your own career, we’d love to hear from you.