Healthcare Outreach Coordinator

1 dia atrás

Nova Iguaçu, Rio de Janeiro, Brasil beBeeEngagement Tempo inteiro US$20.000 - US$25.000
Job Title: Patient Engagement Specialist I

This role is crucial in scaling the healthcare industry.

  • Conduct outreach calls to inform patients of recommended services for HEDIS measure gap closure in a courteous and engaging manner.
  • Requests and gathers necessary medical records as needed.
  • Effectively organize projects and tasks based on priority to help meet expectations and deadlines of projects.
  • Collaborate with the health plan, PCP, and healthcare team to ensure timely communication of member's clinical information.
  • Generate letters and faxes to PCPs, Specialists, patients, and other healthcare team members.
  • Coordinate care for patients as appropriate such as scheduling appointments, creating authorizations to facilitate/expedite patient's requests based on provider's orders.
  • Maintain strict confidentiality of business discussions.
  • Travel to various offices as designated.
  • Ad-hoc projects as assigned by the manager/supervisor.
  • May be required to work overtime to meet tight deadlines.
  • Comply with department policy and procedures.
  • Collect and collate appropriate data from IPA network providers for HEDIS measures.
  • Collect medical records, conduct reviews and ensure accuracy of documentation for reporting.
  • Collect, summarize and trend provider performance data to include provider education.
  • Participate in ongoing discussions concerning data collections and analysis for HEDIS.
  • Assist in planning and implementation of projects to improve delivery of services and quality of care.
  • Understand the principles of CMS, HEDIS, NCQA, Health Plan Quality Standards and HIPAA.
  • Generate and maintain accurate weekly/monthly/quarterly report of activities.
  • Attend to health plans, provider, and interdepartmental calls.

Required Skills and Qualifications:

  • Must reside in Orange County, San Diego or Inland Empire.
  • Minimum of Associate's degree, Bachelor's degree or equivalent years of experience.
  • Experience using Microsoft applications such as Word, Excel and Outlook.
  • Proficiency in electronic scheduling.
  • At least one (1) year of HEDIS related experience.
  • Must have Driver's License, reliable transportation and be willing to travel between office locations as needed.
  • Ability to prioritize and effectively multi-task.
  • Ability to quickly adapt to various situations.
  • Excellent organizational skills and strong attention to detail.
  • Effective and professional communication skills.
  • Self-driven, quick learner, patient, must be able to work with people of different personalities.

Benefits:

  • Full-time schedule, Monday through Friday, 8:00 AM – 5:00 PM.
  • Competitive total compensation target pay range for this role is $20.00 - $25.00 per hour.

Environmental Job Requirements and Working Conditions:

  • This is a remote position; however, candidates must reside in Orange County, San Diego or Inland Empire, CA.
  • The home office of this department is located at 600 City Parkway West, 10th Floor, Orange, CA 92868.

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