Clinical Regulatory Specialist
Job Description
Clinical Regulatory Specialist
AngMar Management Services
Why choose AngMar Management Services?
AngMar Management Services owns and operates Angels Care Home Health & Hospice, which has nearly 100 offices located throughout the United States. Over the past 25 years, we have grown to be one of the largest national Home Health Care Providers.
AngMar Management Services is Nationally Recognized as a ‘Great Place to Work’!
What we offer:
- Generous Paid Time Off
- The flexibility of our PTO plan allows you to set your own priorities & use it for any number of events in your life.
- Extensive Training
- We encourage you to continue your professional development. Angels Care offers access to CEU portals at zero cost to you.
- Full Health, Dental, & Vision Benefits (Available 1st Month)
- We offer comprehensive & competitive medical and dental benefits. There are multiple options for you to choose from so you can select a plan that works best for you.
- Company-Matched 401(k)
- We care about your financial well-being and help contribute & plan for your future retirement goals.
- Career Advancement
- Angels Care has an ‘Internal Promotion’ first mentality. We want you to grow your career with us!
About the position:
The Clinical Regulatory Specialist provides documentation coordination, including policies, regulatory reporting, additional development requests for Medicare and Non-Medicare Payors, as well as medical records requests from outside entities.
Essential Job Functions:
- Demonstrate in-depth knowledge of EMR privacy and confidentiality rules and regulations and adheres to HIPPA requirements, state and federal guidelines.
- Exercise independent judgment and discretion to pull ADR’s daily for all payors.
- Notify the agency of the medical record request and pull records to send to MAC’s, insurance contractors, and all other requestors.
- Must be able to follow standard filing procedures.
- Exercise independent judgment when in receipt of records to make sure that the record will support claim payment.
- Ensure accurate timelines for every level of appeals process.
- Perform special projects as assigned.
Qualifications:
- Minimum 2 years home health or similar experience in field and back office.
- Proficient in Microsoft Excel.
- Excellent computer skills required.
- Excellent interpersonal and organizational skills.
- Knowledge of Microsoft Office software.
- Ability to take direction with a multitude of tasks.
- Highly organized and detail-oriented with the ability to manage multiple priorities and meet deadlines.
- Knowledge of Medicare regulatory guidelines.
- Must be detail oriented and able to work with minimal supervision.
