Innova
Innova Solutions is immediately hiring for a Sr. Hospital Billing Compliance Analyst Position type: Full Time Employee Status Duration: Permanent Location: Dallas, TX JOB SUMMARY The Sr. Healthcare/Billing Compliance Analyst performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. ESSENTIAL FUNCTIONS OF THE ROLE This position will be supporting two different areas of compliance: Hospital Billing Compliance ·Conducts audits and assessments to ensure compliance with policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs. · Helps in reviewing reported compliance incidents and complaints applicable to policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions. ·Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way. ·Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to departments and entities on compliance matters. Third Party Compliance ·Assists in assessing and mitigating risks related to third-party relationships, including bribery, corruption, sanctions, and reputational concerns. · Supports the implementation and maintenance of third-party due diligence processes, ensuring integration into vendor selection and contract management. ·Collaborates with procurement, legal, supply chain, and other departments to embed compliance practices into broader business operations. ·Assists in investigations, audits, and risk assessments to ensure compliance with company policies and regulatory requirements, including support for regulatory inquiries and external investigations related to third-party, supply chain, and sanctions compliance. ·Stays informed on regulatory changes related to supply chain governance, recommending updates as needed. ·Performs other duties as assigned to support compliance and risk management initiatives. KEY SUCCESS FACTORS ·Continually demonstrates initiative by learning business processes and applicable auditing techniques. ·Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity. ·Excellent written and oral communication skills based on level of expertise. ·Proficient in Microsoft Word and Excel. ·Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. BENEFITS Our benefits are designed to help you live well no matter where you are on your journey. Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level QUALIFICATIONS - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible. We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW. Thank you! Nancy Shor Recruiter EMAIL: nshor@momentumrs.com PAY RANGE AND BENEFITS: Pay Range*: $45.00 – $55.00 per hr *Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc. Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP). ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields. Recent Recognitions: One of Largest IT Consulting Staffing firms in the USA – Recognized as #4 by Staffing Industry Analysts (SIA 2022) ClearlyRated® Client Diamond Award Winner (2020) One of the Largest Certified MBE Companies in the NMSDC Network (2022) Advanced Tier Services partner with AWS and Gold with MS Website: https://www.innovasolutions.com/ Innova Solutions offers a referral bonus for qualified Ambassadors who refer eligible referrals. Submit referrals at https://innovasolutions.workllama.com/atsuser/anonreferafriend and earn $250-$1,000 per referral. Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b. The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.