Innova Solutions
Senior Hospital Billing Compliance Analyst
Innova Solutions, Dallas, Texas, United States, 75215
Senior Hospital Billing Compliance Analyst
Location: Dallas, TX
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Employment type: Full-time
Job Summary
The Senior 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.
Responsibilities
Hospital Billing Compliance
Conduct audits and assessments to ensure compliance with policies and CMS and Texas Medicaid regulations; provide reports, recommendations, and corrective action follow-up. Monitor trends to identify deficiencies and training needs.
Review reported compliance incidents and complaints related to policies, procedures, or federal and state laws; coordinate investigations and ensure timely and effective corrective actions.
Develop and maintain education and training materials; ensure lessons are completed in a timely manner.
Respond to inquiries using applicable Medicare and Medicaid guidance; serve as a compliance resource to departments and entities on compliance matters.
Third Party Compliance
Assess and mitigate risks related to third-party relationships, including bribery, corruption, sanctions, and reputational concerns.
Support third-party due diligence processes; integrate into vendor selection and contract management.
Collaborate with procurement, legal, supply chain, and other departments to embed compliance into broader operations.
Assist 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.
Stay informed on regulatory changes related to supply chain governance; recommend updates as needed.
Perform other duties to support compliance and risk management initiatives.
Key Success Factors
Demonstrates initiative by learning business processes and auditing techniques.
Good judgment, attention to detail, integrity, dependability, and objectivity.
Excellent written and oral communication skills; proficiency in Microsoft Word and Excel.
Professional growth through continuing education and 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 degree or 4 years of work experience above the minimum qualification.
Experience
- 3 years of Billing/Healthcare experience.
Qualified candidates should
APPLY NOW
for immediate consideration. We are interviewing to fill this and other similar positions. Referrals are welcome and may be eligible for a referral bonus program.
Contact: Nancy Shor, Recruiter
Email: nshor@innovasolutions.com
Pay Range and Benefits Pay Range: $45.00 – $55.00 per hour. Pay range offered will be based on education, experience, location, duties, and certifications.
Innova Solutions offers benefits including medical & pharmacy coverage, dental/vision, 401(k), HSA/FSA, life insurance, disability coverage, paid leave, EAP, and more depending on eligibility.
About Innova Solutions Founded in 1998 and headquartered in Atlanta, GA, Innova Solutions delivers strategic technology and business transformation solutions globally. We are an Equal Opportunity Employer committed to a diverse and inclusive workplace.
Website: https://www.innovasolutions.com/
We encourage qualified candidates to apply. For referrals: submit at https://innovasolutions.workllama.com/atsuser/anonreferafriend.
#J-18808-Ljbffr
|
Employment type: Full-time
Job Summary
The Senior 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.
Responsibilities
Hospital Billing Compliance
Conduct audits and assessments to ensure compliance with policies and CMS and Texas Medicaid regulations; provide reports, recommendations, and corrective action follow-up. Monitor trends to identify deficiencies and training needs.
Review reported compliance incidents and complaints related to policies, procedures, or federal and state laws; coordinate investigations and ensure timely and effective corrective actions.
Develop and maintain education and training materials; ensure lessons are completed in a timely manner.
Respond to inquiries using applicable Medicare and Medicaid guidance; serve as a compliance resource to departments and entities on compliance matters.
Third Party Compliance
Assess and mitigate risks related to third-party relationships, including bribery, corruption, sanctions, and reputational concerns.
Support third-party due diligence processes; integrate into vendor selection and contract management.
Collaborate with procurement, legal, supply chain, and other departments to embed compliance into broader operations.
Assist 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.
Stay informed on regulatory changes related to supply chain governance; recommend updates as needed.
Perform other duties to support compliance and risk management initiatives.
Key Success Factors
Demonstrates initiative by learning business processes and auditing techniques.
Good judgment, attention to detail, integrity, dependability, and objectivity.
Excellent written and oral communication skills; proficiency in Microsoft Word and Excel.
Professional growth through continuing education and 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 degree or 4 years of work experience above the minimum qualification.
Experience
- 3 years of Billing/Healthcare experience.
Qualified candidates should
APPLY NOW
for immediate consideration. We are interviewing to fill this and other similar positions. Referrals are welcome and may be eligible for a referral bonus program.
Contact: Nancy Shor, Recruiter
Email: nshor@innovasolutions.com
Pay Range and Benefits Pay Range: $45.00 – $55.00 per hour. Pay range offered will be based on education, experience, location, duties, and certifications.
Innova Solutions offers benefits including medical & pharmacy coverage, dental/vision, 401(k), HSA/FSA, life insurance, disability coverage, paid leave, EAP, and more depending on eligibility.
About Innova Solutions Founded in 1998 and headquartered in Atlanta, GA, Innova Solutions delivers strategic technology and business transformation solutions globally. We are an Equal Opportunity Employer committed to a diverse and inclusive workplace.
Website: https://www.innovasolutions.com/
We encourage qualified candidates to apply. For referrals: submit at https://innovasolutions.workllama.com/atsuser/anonreferafriend.
#J-18808-Ljbffr