Apria Healthcare

Compliance & Policy Analyst

Requisition ID
2020-9709
# of Openings
1
Category
Legal/Compliance
Location : Location
US-CO-
Full/Part Time
Full-time

Job Summary

ABOUT THE COMPANY

Apria Healthcare’s mission is to improve the quality of life for our patients at home. We are looking for empathetic, thoughtful and compassionate people, to meet the needs of our patients.   Already an industry leader in healthcare services, we provide home respiratory services and select medical equipment to help our patients sleep better, breathe better, heal faster, and thrive longer.

 

JOB SUMMARY

This position is responsible for preparation and submission of documents for internal and external audits related to Medicare, Medicaid and private insurance.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Assists in the development and implementation of compliance programs for the organization.      
  • Monitors business activities for compliance with applicable rules and regulations.
  • Ensures operating manuals and procedural documents stay current when regulations change.
  • Responds to inquiries from regulatory agencies and completes required compliance documentation.
  • Responsible for obtaining, organizing, reviewing and analyzing all documents required for external and internal audits; including Medicare, Medicaid and private insurance. Responsible for reviewing audit documentation for any reimbursement issues as directed by manager.  
  • Assists with creation of training materials for payors affiliated with assigned area(s) of responsibility as required
  • Provides training and support as required to ensure all involved staff are properly trained on reimbursement compliance policies and audit procedures.
  • Assists in researching policies and coordination of updates to the applicable electronic systems related to all state welfare programs affiliated with assigned area(s) of responsibility.
  • Assists with system updates, and changes as required to implement new payor guidelines or Apria policies and procedures, as requested.
  • Communicates and reinforces company policies and procedures.
  • Ensures compliance to company policies and procedures for all product lines. This includes federal, state, and local regulations.
  • Performs other related duties as directed by manager. 

 

SUPERVISORY RESPONSIBILITIES

  • N/A

Minimum Required Qualifications

Education and/or Experience

  • Bachelor’s Degree or equivalent experience is required.
  • At least three years related experience is required.

 

 

Certificates, Licenses, Registrations or Professional Designations

  • N/A

 

 

SKILLS, KNOWLEDGE AND ABILITIES

  • Excellent training and written/verbal communication skills.
  • Familiarity with medical terminology.
  • Ability to read and interpret regulations and implement as required by the Company.
  • Leadership skills and negotiation skills required.
  • General understanding of health and related types of insurance coverage, as well as the managed care industry and its operations.

General understanding of contracting structures in durable medical equipment industry.

 

Computer Skills

  • Basic skills in Access, Excel, PowerPoint, MS Project, Visio, Word

 

 

Language Skills

  • English (reading, writing, verbal)

 

Mathematical Skills

  • College level mathematical proficiency, with a strong ability to understand, interpret and develop spreadsheet data.

 

PHYSICAL DEMANDS

This is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus.  It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder.  Employees in this position must be physically able to efficiently perform the essential functions of the position. Reasonable accommodations will be provided to assist or enable qualified individuals with disabilities to perform the essential functions of the position.

 

WORK ENVIRONMENT

Work is performed in an office setting with exposure to moderate noise. 

 

TRAVEL

Occasional travel to attend training is required

 

The essential duties and responsibilities, physical requirements, and work environment described above are representative of those typically required for this position but may vary depending on staffing and business needs at specific locations. The inclusion or omission of a specific duty or physical requirement is, therefore, not determinative of whether that function is essential to a specific individual’s position.

 

Join the Apria team for a rewarding opportunity in healthcare!  Competitive pay rates with cash incentives and full benefit packages available, including health, dental, vision, disability and 401(k).

 

Apria Healthcare is committed to hiring veterans and military spouses. 

EEO Statement

As an EOE/AA employer, Apria Healthcare is committed to providing all applicants and employees with equal access to employment opportunities, regardless of sex, race, age, color, national origin, disability, pregnancy, religion, genetic information, sexual orientation, transgender status, gender identity, marital status, veteran status, or any other characteristic protected by federal, state, or local law.  Apria Healthcare shall abide by the requirements of 41 CFR 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals on the basis of protected veteran status or disability, and require affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans and individuals with disabilities. AA/EOE, M/F/Disability and Vet

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