Compliance Specialist jobs in Richardson, TX

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Compliance Specialist
  • Adapt Health LLC
  • Dallas, TX FULL_TIME
  • Description

    AdaptHealth Opportunity – Apply Today!


    At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to apply, we would love to hear from you. 


    Compliance Specialist

    Compliance Specialists provide the full scope of advanced professional level support to the Chief and Regional Compliance Officer. Conducts various audits and investigations in accordance with AdaptHealth’s corporate compliance program. Identifies compliance issues, gaps in adherence of our standards, and reported issues. Additionally, should function in an advisory and consultative capacity to foster our culture of compliance. The Compliance Specialist will serve as a resource to others across the organization as well as leads investigations as necessary.


    Job Duties:

    • Conducts internal and external audit while adhering to audit schedules, including traveling to sites to conduct audits and promoting the AdaptHealth compliance program
    • Collaborates with the leadership team of designated region, ensure compliance objectives are met
    • Provide compliance guidance and support regarding clarification of compliance requirements, accreditation standards
    • Participates in investigations of identified issues, gaps in adherence of our standards, and reported issues
    • Perform internal audits including, but not limited to on site reviews for compliance to HIPAA, Medicare, State, and accreditation requirements and post-payment claims reviews
    • May lead compliance investigations, mapping out strategy, approach, and after assessing facts and data, make a recommendation to the Chief Compliance Officer as to resolution
    • Document investigation results in a comprehensive, factual, and appropriate manner including rationale of findings and recommendations
    • Travel to branch locations as needed provide compliance support, conduct site audits and investigations
    • Assist operation managers and other business leaders in the development and execution of action plans for improvement and corrective/preventative action as necessary to address any deficiencies
    • Respond promptly and appropriately to all requests for assistance with compliance related matters, and function in a consultative, guiding capacity
    • Maintains awareness of when escalate issues of suspected non-compliance or items needing additional clarification or immediate attention from an executive
    • Research and respond to questions from supervisors and other employees regarding specific Medicare and other healthcare issues on a case-by-case basis
    • Ensure audit tracking is updated and changed per any process changes within AdaptHealth or per any criteria changes with Medicare/healthcare guidelines
    • Contact Medicare and other insurance carriers as needed for additional information regarding claim audits
    • Develop and maintain working knowledge of current HME products and services offered by the company
    • Maintains an understanding of Medicare and Medicaid criteria claims filing requirements, Medicare Supplier Standards, and accreditation requirements
    • Maintain patient confidentiality and function within the guidelines of HIPAA
    • Completes assigned compliance training and other educational programs as required
    • Maintains compliant with AdaptHealth’s Compliance Program
    • Perform other related duties as assigned

    Competency, Skills, and Abilities:

    • Knowledge of Medicare, Medicaid, and commercial health plan reimbursement and regulatory requirements.
    • Expert written and verbal communication skills
    • Strong interpersonal skills
    • Ability to prioritize tasks and manage multiple projects
    • Strong analytical and problem-solving skills with attention to details
    • Proficient use of Microsoft Office Suite – Excel, Word, Outlook, and PowerPoint
    • Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
    • Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team.


    Requirements

    Minimum Job Qualifications:

    • Associates degree from an accredited college is required; Bachelor’s degree preferred
    • Three (3) years of compliance or quality assurance experience is required
    • Experience Medicare, Medicaid, and third-party insurance related experience preferred
    • DME related experience preferred

    AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.

  • 21 Days Ago

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Compliance Specialist
  • Weichert Realty/Property Partners
  • Celina, TX FULL_TIME
  • ```Overview```We are seeking a highly skilled and detail-oriented Compliance Officer to join our team. As a Compliance Officer, you will be responsible for ensuring that our organization complies with...
  • 4 Days Ago

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Compliance Specialist
  • ENSAFE
  • Farmers, TX FULL_TIME
  • EnSafe is accepting applications for a highly motivated Environmental Compliance Specialist to add to our Dallas compliance team providing multi-media support to clients nationwide.EnSafe, is an emplo...
  • 4 Days Ago

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Compliance Specialist
  • Comerica Bank
  • Dallas, TX FULL_TIME
  • Compliance Specialist II, Assistant Vice PresidentThe Compliance Specialist II is responsible for providing guidance and direction with respect to compliance with laws and regulations with direction a...
  • 7 Days Ago

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Customs Brokerage Specialist---Compliance
  • Yusen Logistics
  • Grapevine, TX OTHER
  • Overview Position Summary The Customs Brokerage Specialist supports the Import Manager in customs brokerage activities to ensure compliance with U.S customs laws and regulations and the company’s comp...
  • 20 Days Ago

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PCI Compliance Specialist
  • Fortis
  • Plano, TX FULL_TIME
  • DescriptionOVERVIEW PCI Compliance Specialist works directly with integrated partners and merchants to deliver PCI Security consulting, direction and support necessary to ensure payment security of pa...
  • 20 Days Ago

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0 Compliance Specialist jobs found in Richardson, TX area

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Manager, Customer Experience, Journey and Insights - Pizza Hut International Plano, TX 7100 Corporate Drive 75023
  • Pizza Hut
  • Plano, TX
  • 7100 Corporate Drive **Plano, TX 75023** **Manager, Customer Experience, Journey and Insights - Pizza Hut International*...
  • 3/29/2024 12:00:00 AM

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Senior Compliance Specialist, Multifamily
  • Cushman & Wakefield
  • Dallas, TX
  • Job Title Senior Compliance Specialist, Multifamily (https://careers.cushmanwakefield.com/) Job Description Summary The ...
  • 3/28/2024 12:00:00 AM

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BSA Compliance Analyst
  • United Texas Bank
  • Dallas, TX
  • About UTB As a Texas business bank focused on our clients, our mission is to provide creative and responsive solutions t...
  • 3/28/2024 12:00:00 AM

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Affordable Housing Compliance Specialist - REMOTE
  • RealPage
  • Richardson, TX
  • SUMMARY The Affordable Housing Compliance Specialist position is centrally focused on providing exceptional customer ser...
  • 3/26/2024 12:00:00 AM

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Environmental Coordinator - 224225
  • Medix™
  • Dallas, TX
  • Environmental Coordinator Location: Garland, TX (Training will be in Alvarado, TX for one week) Shift: 7AM to 3PM Pay: $...
  • 3/25/2024 12:00:00 AM

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Compliance Specialist
  • Comerica
  • Dallas, TX
  • Compliance Specialist II, Assistant Vice President The Compliance Specialist II is responsible for providing guidance an...
  • 3/25/2024 12:00:00 AM

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Customer Care Specialist - Compliance - Allen, TX - 4/18/2022
  • Experian Health
  • Allen, TX
  • **Customer Care Specialist - Compliance - Allen, TX - 4/18/2022** * 601 Experian Pkwy, Allen, TX 75013, USA * Full-time ...
  • 3/25/2024 12:00:00 AM

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Senior BSA/AML Compliance Analyst
  • ViaPath Technologies
  • Dallas, TX
  • Overview: ViaPath is currently seeking a Senior BSA/AML Compliance Analyst to join our team in Dallas, TX. Serving as a ...
  • 3/25/2024 12:00:00 AM

The cities of Dallas, Plano and Garland, Texas constitute almost all of the Richardson border apart from the municipality's extreme northeastern "panhandle." The Lake Highlands area of northeast Dallas borders Richardson to the south, North Dallas to the southwest, Far North Dallas to the west, West Plano to the northwest, East Plano to the north, the city of Murphy to the northeast, Sachse to the east, and Garland to the southeast. Richardson is located at 32°57′56″N 96°42′57″W / 32.965628°N 96.715707°W / 32.965628; -96.715707. According to the United States Census Bureau, the city has a t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Compliance Specialist jobs
$58,267 to $74,197
Richardson, Texas area prices
were up 2.2% from a year ago

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