The Role
Manage Medicare and Medicaid provider enrollment and ensure compliance with federal and state healthcare regulations. Advise staff and field teams on policy interpretation, communicate updates and policy changes, respond to compliance questions, and maintain high standards of documentation, organization, and ethical conduct.
Summary Generated by Built In
Job Summary & Responsibilities
The Compliance Administrator is responsible for ensuring employees comply with various Federal and State health care regulations and policies, and for all aspects of Medicare and Medicaid Provider Enrollment.
- Responsible for all aspects of Medicaid and Medicare Provider Enrollment
- Communicates Medicare/Medicaid policy and procedures to field and staff employees
- Answers questions from employees on existing Medicare/Medicaid Policy
- Responds to calls regarding interpretation of policies and regulations, providing explanations of policies and what is permitted under same
- Communicates Medicare/Medicaid updates and policy changes to the field managers and staff
- Knowledge of FDA, HIPAA, Anti-Kickback statutes/Stark law, Safe Harbor laws, and/or DOT regulations not required, but would be preferred
- Prior experience with durable medical equipment, medical oxygen, long-term care, or hospice organizations preferred
- Previous experience interacting with all levels of management required
- Must be a self-starter, able to take initiative
- Proactive problem solver
- Ability to multitask and work well under pressure
- Strong knowledge of Microsoft Office required
- Excellent organizational, analytical, communication, and customer service skills required
- Excellent attention to detail and follow-up skills required
- Must uphold organizational values and adhere to strict ethical standards
Education and Experience:
- High school diploma or equivalent required
- Some college coursework preferred
- Paralegal certification preferred
- At least 1-3 years of experience in compliance administration, or a similar role required
- Relevant education considered in lieu of experience
- Requires 3-5 years homecare experience
Skills Required
- High school diploma or equivalent
- At least 1-3 years of experience in compliance administration or a similar role
- 3-5 years homecare experience
- Strong knowledge of Microsoft Office
- Previous experience interacting with all levels of management
- Excellent organizational, analytical, communication, and customer service skills
- Excellent attention to detail and follow-up skills
- Must be a self-starter and proactive problem solver
- Ability to multitask and work well under pressure
- Must uphold organizational values and adhere to strict ethical standards
- Knowledge of FDA, HIPAA, Anti-Kickback statutes/Stark law, Safe Harbor laws, and/or DOT regulations
- Prior experience with durable medical equipment, medical oxygen, long-term care, or hospice organizations
- Some college coursework
- Paralegal certification
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The Company
What We Do
Lincare is a leading supplier of respiratory-therapy products and services for patients in the home. You can learn more about our extensive suite of products and services by visiting our website. Everywhere we operate, Lincare is working to be a partner in patient care by providing high-quality services and supplies, promoting patient education, and building strong relationships with patients, physicians, families and caregivers. Services we offer include: Oxygen Therapy Nebulizer Therapy Sleep Therapy Ventilator Therapy Enteral Therapy Pediatric Services Caring Responders Long Term Care Disease Management Programs and More!
