Compliance Manager - Healthcare jobs in New London, CT

Compliance Manager - Healthcare implements and administers programs, policies, and practices to ensure that organization complies with JCAHO, HIPAA, and accreditation standards. Monitors and administers compliance with federal, state, and local regulations. Being a Compliance Manager - Healthcare acts as a liaison to government agencies and coordinates site visits for regulators. Investigates potential compliance violations and takes corrective action as necessary. Additionally, Compliance Manager - Healthcare requires a bachelor's degree. Typically reports to a head of a unit/department. The Compliance Manager - Healthcare manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Compliance Manager - Healthcare typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Business Office Manager Healthcare
  • Apple Rehab
  • Mystic, CT FULL_TIME
  • Come grow with us! Are you ready to work for a company that is uniquely different; an organization that is committed to your personal and professional growth? Then come join the team at Apple Rehab Mystic, one of Connecticut’s leading providers of short term rehabilitation and skilled nursing care.

    Apple Rehab is a family owned and operated company that treats residents and staff like family too. Our expert team of senior management is located at our home office, right in Avon, CT, ensuring superior care from a local company. Our leadership is not across the country, but rather in your backyard.

    Job Description:

    40 hours/ week

    ACCOUNTS RECEIVABLE BUSINESS OFFICE MANAGER

    Reports To: Facility Administrator

    Staff Supervised: As designated by Administrator

    General Purpose:

    Accounts Receivable Business Office Manager plans, organizes, develops and implements all accounts receivable functions in accordance with current company policies as well as federal, state and local regulations and procedures in an accurate, neat and organized manner while ensuring that the highest quality of service is provided.

    Qualifications:

    • Completion of secondary education showing the ability to read, perform mathematical calculations, write in a legible manner and follow oral and written directions in English.
    • Accounts Receivable Business Office Manager is experienced in Point Click Care or other EHR and Billing systems, RFMS or other Resident Trust systems, and electronic claims management systems.
    • Attention to detail, good follow through skills and ability to prioritize multiple tasks.
    • Must be innovative and able to find creative ways to service the variety of residents’ needs and maintain the customer focus.
    • 3-5 years experience in long-term care billing and collections; working knowledge of State Medicaid and Medicare law and third party insurance.
    • Patience, tact and a positive attitude toward residents, family members, state and federal agencies and other staff.
    • Demonstrates cooperation in assisting others and ability to work as a team.

    Essential Job Functions (With or Without Reasonable Accommodation):

    Leadership Functions:

    • Participates in Department Head meetings and activities
    • Leads by example and addresses all observed areas of concern or concerns brought by others
    • Communicates and collaborates with all departments, receiving criticism and ideas for improvement in a positive way
    • Participates and encourages a culture of compassion, caring, mutual respect, and outstanding customer service.
    • Builds relationships with staff, residents, family member, vendors, and consultants to ensure customer and staff satisfaction
    • Motivates all staff members by effective listening and positive feedback whenever possible
    • Maintains an approach of continuous improvement (Quality Assurance/Performance Improvement), with resident care as the primary focus

    Administrative Functions:

    • Reviews all new admission payers for eligibility; advises pre-admission of payer concerns as needed; coordinates with the care team as well as Resident/family members to plan for coverage in advance of payer change; oversees the Medicaid application process to ensure responsible party is providing timely information to the LTC unit at DSS office
    • Maintains accurate daily census including all residents and their payors. Reports census to all departments on a daily basis. Participates in all facility meetings related to billing and potential payor changes, which may include morning report, Medicare/Utilization Review, PPS, etc
    • Communicate all information related to payor changes to the appropriate departments, including nursing, therapy, MDS, and Social Service as it pertains to resident services
    • Monitor and oversee Medicaid renewal applications with responsible party to ensure continual coverage and necessary spendown is done timely
    • Organizes prepares, and submits all billings accurately and by deadlines
    • Monitors accounts receivable aging reports ongoing throughout the month and follows through on past due accounts, ensuring all appropriate action is taken to avoid bad debt
    • Utilize corporate mandatory action steps for collection on past accounts (i.e. phone call, legal letter, etc)
    • Make notes in software system on past due accounts indicating action taken
    • Communicates all concerns related to payment timely to the Administrator as well as legal counsel and Corporate VP of AR as needed
    • Open and process mail received daily
    • All cash receipts (including cash, checks, EFT and credit card payments, etc) must be deposited and posted on a daily basis
    • Track and monitor all Medicare ADRs and CMA Appeal Requests to ensure timely submission to the Corporate Clinical Reimbursement Director
    • Prepares and mails resident account statements quarterly and as needed or at the resident or responsible parties’ request
    • Plans for the preparation, review and submission of financial reports and audits to all appropriate regulatory agencies , Administrator, and to appropriate corporate staff
    • Manage the Resident’s Trust Accounts to ensure Resident’s allowance and appropriate level of petty cash is available; Applied Income is paid to facility timely; bank accounts are reconciled to ledgers monthly; T19 resource limits are maintained; Resident accounts are not overdrawn at any time.
    • Maintains resident confidentiality and privacy. Knows and complies with the Residents’ Bill of Rights.

    Apple Rehab offers an attractive benefit package for employees of 30 hours or greater that may include the following:

    • Scholarships and career growth opportunities
    • 4 Weeks Paid Time Off
    • 7 Paid Holidays
    • Health Insurance Benefits
    • Short Term & Long Term Disability
    • Call-a-Doc / 24-7 MD telephone service
    • Employee Assistance Program
    • Life Insurance
    • 401K Retirement Program
    • Longevity Credit
  • 10 Days Ago

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Dietary Manager
  • Wachusett Healthcare
  • London, CT FULL_TIME
  • Harbor Village Nursing & Rehabilitation Center is seeking a Full-Time, Experienced Skilled Nursing Home Dining Services Director Our Mission Statement at Harbor Village: We strive each day to exceed o...
  • 1 Month Ago

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Charge Nurse / Unit Manager
  • Wachusett Healthcare
  • London, CT FULL_TIME,PART_TIME
  • Come and Join our team! Full and Part Time RN/LPN openings Premier Pay for 3-11, 11-7 and Weekends! Harbor Village Rehabilitation & Nursing Center, a Short-Term Rehab and Skilled Nursing Facility loca...
  • 4 Days Ago

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Business Office Manager/Biller
  • Wachusett Healthcare
  • London, CT FULL_TIME
  • Harbor Village Rehabilitation & Nursing Center, a Short-Term Rehab and Skilled Nursing Facility located in a quaint location of New London is seeking an Enthusiastic Business Office Manager/Biller (BO...
  • 12 Days Ago

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Healthcare Companion
  • Apple Rehab
  • Chester, CT FULL_TIME,PART_TIME
  • Located in the scenic and historic town of Chester, Chesterfields is a 60 bed facility offering a superb setting for short rehabilitation and long term care. Our goal is to help each resident attain t...
  • 18 Days Ago

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Risk and Compliance - Risk and Compliance Specialist
  • Chelsea Groton Bank
  • Groton, CT FULL_TIME
  • Chelsea Groton Bank is seeking an innovative and detail-oriented person to join the Risk and Compliance Department as a Risk and Compliance Specialist. They will manage the Bank's vendor management an...
  • 1 Day Ago

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0 Compliance Manager - Healthcare jobs found in New London, CT area

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Senior Finance Manager
  • Cyient
  • East Hartford, CT
  • Key Responsibilities: Financial Leadership: Lead financial strategies and collaborate with teams to achieve our goals. F...
  • 3/28/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Hartford, CT
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Fed State Local Gvmt Spec - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Hartford, CT
  • Duties WHAT IS THE TAX EXEMPT & GOVERNMENT ENTITIES (TE/GE) DIVISION? A description of the business units can be found a...
  • 3/27/2024 12:00:00 AM

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Auto Finance & Insurance Manager, Earn $200,000+!
  • KIA of East Hartford
  • East Hartford, CT
  • 99 Ash Street, East Hartford, CT 06108 Automotive Finance and Insurance Manager At least 2 Years of Auto F&I Experience ...
  • 3/26/2024 12:00:00 AM

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Investment Advisor
  • Buell Securities
  • Glastonbury, CT
  • Company Description Buell Securities is a full-service broker-dealer and Registered Investment Advisor located in Glasto...
  • 3/25/2024 12:00:00 AM

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Compliance Analyst
  • CENTREVILLE BANK
  • West Warwick, RI
  • The Compliance Analyst supports the VP Compliance Manager and performs various tasks and monitoring to ensure adherence ...
  • 3/25/2024 12:00:00 AM

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Associate Quality Engineer
  • Quest Global
  • East Hartford, CT
  • Job Description Job Description Quest Global is an organization at the forefront of innovation and one of the world’s fa...
  • 3/25/2024 12:00:00 AM

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Assistant Branch Manager - East Hampton Branch
  • Dime Community Bank
  • East Hampton, NY
  • Dime Community Bank is seeking an Assistant Branch Manager (ABM) for its East Hampton Branch. The ABM will be responsibl...
  • 3/24/2024 12:00:00 AM

New London is a seaport city and a port of entry on the northeast coast of the United States, located at the mouth of the Thames River in New London County, Connecticut. It was one of the world's three busiest whaling ports for several decades beginning in the early 19th century, along with Nantucket and New Bedford, Massachusetts. The wealth that whaling brought into the city furnished the capital to fund much of the city's present architecture. The city subsequently became home to other shipping and manufacturing industries, but it has gradually lost most of its industrial heart. New London ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Compliance Manager - Healthcare jobs
$120,432 to $154,832
New London, Connecticut area prices
were up 1.7% from a year ago

Compliance Manager - Healthcare in Monterey, CA
Piedmont Healthcare Corporate Compliance Department Christopher.
December 31, 2019
Compliance Manager - Healthcare in Lincoln, NE
It also provides risk assessment workflow and management tools that include task assignment and verification to help Governance, Risk & Compliance teams and IT departments work together to streamline internal compliance activities.
February 22, 2020
Compliance Manager - Healthcare in Kansas City, KS
Healthcare regulatory compliance covers numerous areas including, but not limited to, patient care, billing, reimbursement, managed care contracting, OSHA, Joint Commission on Accreditation of Healthcare Organizations, and HIPAA privacy and security.
February 13, 2020