Job description

Position Title – Quality Improvement Specialist

Address – Remote anywhere in Texas

Pay – 22

Start date – end of September

Hours – M-F 8a-5p

Terms – Contract through April 2022 (potential to extend - YES though unlikely as our first project ends in April and second project ends the first week of June.

Required:

• 2 years of relevant experience minimum – health care call center, medical office, ect

• Experience handling or working with Medical Records (not clinical like MA’s)

• Provider office experience

• Excel skills – someone who can navigate and work with excel (nothing complex) just the basics, they don’t have time to train on excel

Notes from manager -

we’re looking for folks with medical office experience and/or medical records experience. Working in a medical office tends to get better results for us because that’s the folks we are calling and they have experience working in that environment. Also looking for folks with phone experience and decent computer skills. They’ll be working in several programs and calling provider offices to verify members.

Position Purpose:

Perform various analysis and interpretation to link business needs and objectives for assigned function

Responsibilities

Summary: Provide support for the Quality Department to perform improvement and review procedures

Job Responsibilities:

• Conduct internal record reviews and audits, including medical records.

• Review records to ensure they are complete, accurate and compliant with standards Initiate SOP revisions to ensure they are current and validated and support continuous improvement

• Develop and enhance documentation, tracking tools and process flows for quality monitoring activities to comply with current regulations and standards

• Maintain databases and spreadsheets to track and trend quality monitoring activities, results and outcomes

• Analyze data and develop reports to support QI program

• Complete special projects or assignments as needed to meet initiatives and/or objectives of department

• Identify, problem-solve and communicate to direct supervisor any issues that are interfering with project deadlines or project

Project Summary

• They work with a vender to retrieve their medical records for their Hedis Audit. That vender isn’t able to obtain all the records/ info needed so this team works on obtaining those records from the provider to make sure that they have all the info needed

• Call volumes vary depending on the task they are trying to complete; I would not describe this as a call center but there is outreach to providers

• Heavy process oriented and there are a number of steps so someone who is also process oriented and has attention to detail would be ideal

#INDTMS

Job Type: Full-time

Pay: $22.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Do you have experience working with Medical Records?

Experience:

• Healthcare Call Center: 2 years (Preferred)

Work Location: One location

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