Audit and Regulatory Specialist

• At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC).
• MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work!
• MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US.
• In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success!
• Join Our Team!
• We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included!
• Apply today to become a part of our dynamic team!
• Competitive Pay, Commissions, Auto & Mileage Reimbursement

Advancement Opportunities

Medical, Dental & Vision Insurance

HSA Account w/Company Contribution

Pet Insurance

Company provided Life and AD&D insurance

Short-Term and Long-Term Disability

Tuition Reimbursement Program

Employee Assistance Program (EAP)

Employee Referral Bonus Program

Social Recognition Program

Employee Engagement Opportunities

CALM App

401k (with a matching program) / Roth IRA

Company Discounts

Payactiv/On-Demand Pay

Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays

General: Under the direction of the Director, Regulatory, Compliance and Risk, Ensures compliance with regulations and controls by examining and analyzing records, reports, operating practices, and documentation; and recommending opportunities to strengthen the internal control structure. Verifies assets and liabilities by comparing items to documentation

Responsibilities and Duties

• Responsible for replying to and tracking of external audit activity for a variety of payers including Medicare, Medicaid and commercial payers
• Appeals of denied audits
• Conducts internal audits to assure compliance with policy changes driven by Regulatory Requirements
• Developing and providing employee training on compliance policies, practices, and reporting systems
• Identifying, investigating, and reporting compliance issues, irregularities, and violations
• Assist with maintenance of branch records including all regulatory requirements such as licenses, etc.
• Tracking and responding to patient grievances
• Other Projects as required

Minimum Qualifications

Education: Graduate of an accredited high school or GED equivalence.

Experience/Knowledge/Skills/Physical Requirements

• DME Industry experience, preferably in a regulatory capacity
• Analytical skills refer to your ability to break down a problem, gather facts, and find a logical solution.
• Demonstrated ability to use Smartsheet, Microsoft Excel, Word and PowerPoint
• Familiarity with Medicare, State Medicaid and commercial insurance billing and reimbursements as related to DME
• Excellent verbal and written communication and customer relation skills.
• Excellent interpersonal and organizational skills (a team player).