Compliance Analyst

CompIQ Solutions, LLC; Pasay; On-site; PHP 558,000 - 781,200; Full time

Benefits offered by this job

Annual appraisal

Insurance health & wellness (HMO)

Employee recognition program

Work from home options

Job summary

A software and full-service provider in the Philippines seeks a Compliance Analyst to ensure adherence to state and industry regulations. This hybrid role requires over 5 years in Compliance research, strong analytical skills, and excellent communication abilities. You will track fee schedules and collaborate across departments to ensure compliance and service level agreements.

Responsibilities

• Create checks and balances in tracking Compliance updates.
• Track fee schedules, data, and state legislation.
• Research and respond to state queries on fee schedule.
• Perform QA of fee schedule rules.
• Create Fee Schedule and Compliance status reports.
• Triage and respond to ZenDesk tickets.

Skills

Workers’ Compensation Bill Review Audit/Technical experience

Compliance research and tracking experience

Ability to interpret fee schedule rules

Self-starter

Excellent communication skills

Analytical and problem-solving skills

Research and interpretation skills

Education

Diploma

Job description

Hybrid - Pasay 5-10 Yrs Exp Diploma Full-time

Job Description

Employee Recognition and Rewards

Annual Appraisal, Employee of the Month Award, Employee Recognition Program, Incentives

Government Mandated Benefits

Insurance Health & Wellness

HMO

Professional Development

Work-Life Balance

Work from Home

Read More

CompIQ Solutions is a software and full-service provider focusing on the property and casualty medical bill review market. We provide an end-to-end solution for our clients leveraging our proprietary technology and software platforms in the delivery of our solutions and services. We focus our efforts on our three key stakeholders, in this order: 1) Clients; 2) Colleagues; 3) Company.

About This Role

In the role of Compliance Analyst, you will work closely with the other arms of our Compliance Team: Fee Schedules and State Reporting. Your role will focus on tracking and facilitating CompIQ’s adherence to state and industry rules, regulations, and fee schedules. Research and communication are key features of this role. The Compliance Analyst will play an important part in ensuring that CompIQ meets service level agreements and effective dates.

Duties and Responsibilities

• Create checks and balances in tracking Compliance updates and timeliness of deployments.
• Track fee schedules, data, state legislation inclusive of Administrative Code, State Reporting, ebilling, other related bill review legislation/industry trends.
• Research and contact the various states with any questions on gray or silent items in fee schedule, rules, or regs.
• Triage/create all non-fee schedule client Business rule/Pend rule requests.
• Perform QA of fee schedule rules created by the Fee Schedule Analysts.
• Track and create Fee Schedule and Compliance status reports that are both internal and client facing.
• Create 411 content and posting.
• Triage, research, and respond to ZenDesk tickets routing those they are not able to answer to the appropriate Analyst.
• Collaborate with other teams such as Services, Development, and Account Management
• 5 plus years of Workers’ Compensation Bill Review Audit/Technical experience or Compliance research and tracking experience.
• Able to interpret Workers' Compensation fee schedule rules, state regulations and labor codes.
• Self-starter, self-motivated, able to work independently without directive from supervisor/management.
• Knowledge of state and Medicare fee schedules
• Experience with Bill Review
• Excellent interpersonal skills.
• Excellent verbal and written communication skills.
• Excellent analytical and problem-solving skills
• Excellent research and interpretation skills

Contact: Stephen Dave Lumyeb, Talent Acquisition Manager, CompIQ Solutions, LLC

Working Location

Hybrid – Pasay, Philippines