Compliance Analyst

Compliance Analyst

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility.

The Shared Services Team is seeking a new team member who thrives in a highly collaborative team oriented environment. The Compliance Analyst position requires supporting the Claims Division with all facets of Medicare and SCHIP reporting processes and assistance with general claims compliance requirements (as needed).

Responsibilities

• Meet the Compliance Guidelines of CMS (Centers for Medicare Services) through knowledge of "5 Fields" for eligibility determination; as well as ICD Codes, TPOC (Total Payment to Claimant) and ORM (Ongoing Responsibility for Medial)
• Maintain a close relationship with vendor partner to access reports and data in vendor dashboard and MSP Navigator tool.
• Complete Missing Section 111 data, compare missing eligibility information to RMA
• Monitor CP Link, present claims for review when necessary, forwarding and following up on Treasury Notices with Examiners.
• Address any CMS alerts that arise.
• Update Arch's CMS / SCHIP Policies & Procedures Manual and Workflows as needed.
• Assist Compliance team with other aspects of Claims Compliance as necessary.

Experience and Required Skills

Education

Base salary range is provided. Range is as of the time of posting. Position is incentive eligible.

$71,900 - $97,110 / year

Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team.