Hybrid Regulatory & Audit Specialist – DME Compliance

Medical Service Company

Cleveland (OH)

Hybrid

USD 65,000 - 110,000

Full time

8 days ago
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Benefits offered by this job

Competitive Pay
Commissions
Mileage Reimbursement
Advancement Opportunities
Medical, Dental & Vision Insurance
HSA with Company Contribution
Pet Insurance
Life and AD&D Insurance
Disability (Short/Long-Term)
Tuition Reimbursement
EAP
Referral Bonus
Social Recognition Program
Engagement Opportunities
CALM App
401k / Roth IRA
Company Discounts
Payactiv/On-Demand Pay
Paid Vacation/Sick Days/Holidays

Job summary

MSC is hiring a compliance and regulatory role in a hybrid Ohio office. The Director, Regulatory, Compliance and Risk oversees audits and controls, ensuring adherence to Medicare, Medicaid and commercial regulations. The role involves training staff and improving policies, with a strong emphasis on accuracy and ethics.

The position offers a pathway for professional growth within a reputable health‑care equipment company, with daily office presence on select weekdays and remote work on other days.

Qualifications

  • DME industry experience in a regulatory capacity.
  • Analytical skills to break down problems, gather facts and find solutions.
  • Familiarity with Medicare, State Medicaid and commercial billing.
  • Excellent verbal and written communication and customer relations.

Responsibilities

  • Reply to and track external audit activity for Medicare, Medicaid and commercial payers.
  • Appeals of denied audits.
  • Conduct internal audits to ensure policy changes are followed.
  • Develop and provide employee training on compliance policies and reporting systems.
  • Identify, investigate, and report compliance issues, irregularities, and violations.
  • Assist with maintenance of branch records including regulatory licenses.
  • Track and respond to patient grievances.
  • Perform other projects as required.

Skills

Regulatory compliance
Auditing
Analytical thinking
Communication
Team player

Education

High School Diploma or GED

Tools

Smartsheet
Excel
Word
PowerPoint

Job description

MSC is hiring a compliance and regulatory role in a hybrid Ohio office. The Director, Regulatory, Compliance and Risk oversees audits and controls, ensuring adherence to Medicare, Medicaid and commercial regulations. The role involves training staff and improving policies, with a strong emphasis on accuracy and ethics.

The position offers a pathway for professional growth within a reputable health‑care equipment company, with daily office presence on select weekdays and remote work on other days.

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