Independent Health

Billing Specialist

• Completing the billing of pharmacy and medical claims
• Act as a liaison between patients and insurance companies
• Ensure billing accuracy and compliance with CMS guidelines
• Process and set up deliveries to medical offices

Compliance

• Manage and monitor compliance activities related to PBD’s accreditations, certifications, licenses, and regulatory requirements
• Ensure policies, procedures, and reporting align with compliance standards
• Interpret and advise on accreditation and regulatory requirements
• Review documentation for audit readiness and compliance
• Serve as a liaison with accreditation bodies and coordinate validation reviews
• Support regulatory audits, market conduct exams, and compliance submissions
• Facilitate meetings, dashboards, and oversight activities with leadership and committees
• Manage policy and procedure processes and timelines
• Coordinate STAR measures, corrective actions, and privacy/security events

Billing Specialist

Senior Compliance Specialist