The Regional Compliance Manager oversees compliance for a cluster of states, localizing enterprise policies and ensuring survey readiness for licensure and audits. They serve as the primary compliance partner for state operations leaders and monitor the regulatory landscape to implement actionable changes.
Abby Care
13 Remote Job Openings at Abby Care
Collect, review, and track required insurance documentation from families and healthcare providers to facilitate the approval process. Manage a high volume of daily inbound and outbound calls while ensuring compliance with Medicaid, Medicare, and state regulations.
Manage a portfolio of families by guiding them through onboarding, training, and care milestones. Resolve complex family concerns and coordinate with internal clinical and operations teams to improve the care journey.
Medical Claims Payment Posting, Reconciliation Specialist
Abby Care
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Full Time
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7 days ago
Abby Care
Responsible for accurately posting insurance payments, reconciling daily deposits, and resolving payment discrepancies. The role also involves generating financial and operational reports to ensure the integrity of the revenue cycle.
Responsible for preparing and submitting accurate medical claims to insurance and government payers to ensure timely reimbursement for home health services. This includes managing accounts receivable, resolving claim denials, and maintaining compliance with healthcare regulations.
Conduct high-volume outbound calls to guide caregivers through the intake and onboarding process. Manage caregiver relationships and document all interactions within Salesforce and Dialpad to ensure seamless operational flow.
Design, build, and lead an enterprise-wide healthcare compliance program anchored to OIG and DOJ frameworks. The role involves managing government inquiries, overseeing AI governance in clinical workflows, and reporting risk posture to the Board's Audit and Compliance Committee.
The specialist will manage the full device lifecycle for 600 endpoints and lead the implementation of JAMF and Okta. They will also serve as the primary point of contact for Level 1 and 2 technical support and automate onboarding/offboarding workflows.
Lead the end-to-end lifecycle of complex employee relations cases and internal investigations to ensure fairness and consistency. Build and scale the company's ER infrastructure, including policies and SOPs, while partnering with leadership to address systemic cultural trends.
Serve as the primary point of contact for families to manage scheduling, compliance, and documentation. Coordinate with internal teams to support caregivers through complex healthcare processes and onboarding requirements.
Lead authorization operations for Colorado's HCBS waiver programs and Long Term Home Health services to ensure compliance and uninterrupted patient care. Manage a team of associates to oversee the end-to-end prior authorization and reauthorization process while serving as an escalation point for disputes.
The Employee Relations Partner will independently manage the end-to-end lifecycle of complex employee relations cases, leading internal investigations into misconduct, harassment, or policy violations with precision and discretion. This role also involves serving as a high-touch consultant to managers and building out a scalable ER infrastructure, including policies and SOPs for nationwide expansion.
This role involves mastering Colorado's Long Term Home Health (LTHH) landscape, leading authorization operations for various waiver programs, and overseeing the end-to-end prior authorization process while managing a team of associates. The manager will also serve as the escalation point for complex case resolutions, including disputed Medicaid authorizations and appeals, directly engaging with HCPF and Acentra (Kepro).