Compliance Specialist (Finance)
Join Chimes - and go further to help others go far! Chimes is a not-for-profit organization that assists people with intellectual and behavioral challenges to achieve their fullest potential.Our vast array of services - educational, employment, vocational, residential, habilitative and behavioral health - are delivered through a network of national and international affiliates. This allows us to take a comprehensive, holistic approach to improving the lives of every person we serve - those who receive and those who reap the benefits of our innovative, responsive solutions.Compensation: $60,000PRIMARY JOB FUNCTION(S):
- Submit credentialing applications and ensure all licensure/certifications are current.
- Conduct audits to ensure compliance with regulatory requirements concerning service delivery documentation.
- Comply with all policies and regulations for credentialing providers.
- Maintain database of timelines and credentialed providers for use by other departments
Complete formal audit reports containing findings. - Assist in investigations of alleged violations of rules, regulations, policies and procedures, related to the prevision/detection of fraud, waste and abuse.
- Assist in developing/implementing corrective action plans for resolution of compliance problems.
- Assists with coordination of program performance improvement program.
- Assists in design of program performance improvement initiatives, measure and analyze progress.
- Assists in development and maintenance of monthly program indicators.
- Conducts random unannounced audits of program monthly indicators and compliance service verifications to assure accuracy and appropriate follow up.
- Assists with development of annual Performance Improvement Report.
- Present trainings to staff on compliance/quality assurance topics.
- Maintain professional relationships with staff, clients, payers, other agencies.
- Attend relevant meetings, external and internal, and participate in agency committees as assigned by supervisors.
- Other responsibilities as assigned.
REQUIREMENT QUALIFICATION:
- Obtain CI certification within 90 days of hire
- Driver's license
Minimum Education: Bachelor's Degree. All degree(s) must be from a regionally accredited institution of higher learning.Minimum Experience: 5 years administrative experience in behavioral health or other healthcare field. What's in it for you? Total Rewards (For Full-Time Employees = >30 hours/week):
- Competitive Pay
- Medical, Dental, and Vision Insurance
- Tuition Reimbursement options
- Flexible Spending Accounts (Health, Dependent, and Transportation)
- Life Insurance
- Disability Insurance
- Paid Time Off
- 403(b) with Employer Match
- Employee Recognition Programs
- Employee Referral Bonus opportunities
- Discounts through "Tickets at Work"
- Discounts on Verizon mobile service
- And More!
Want to learn more?To learn more about Chimes, and how you can achieve personal and professional growth within a purpose-driven organization, visit us at: https://chimes.org/Careers. #cmd410
