Compliance Analyst

4 days ago

Pasay, Philippines CompIQ Solutions, LLC Full time

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.
  • Perform post deployment testing.
  • Create documentation
  • Collaborate with other teams such as Services, Development, and Account Management
Qualifications
  • 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
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