Quality Improvement Specialist
Location
Indiana | United States
Job description
Job Title: Quality Improvement Specialist
Location: Remote Role
Duration: 3 Months
Shift: Monday - Friday 8:30 AM - 5:30 PM
Job Description:
Job Responsibilities:
- HEDIS engagement member outreach calls; appointment scheduling; customer service; provider outreach.
- Record requests.
- Chart abstraction, medical record retrieval via fax/email,
- Follow-up call to providers for medical record request.
- Assist with the development and coordination of all core health services data reports.
- Support the development of quality improvement performance audit function processes and tools.
- Assist in designing, running, managing, and data review process for assuring accuracy and integrity of health services data reports to meet regulatory and operational requirements.
- Report outcomes and quality monitoring results to management.
- Assist with managing databases, policies and procedures related to assigned areas.
- Assist with related activities for various committees and meetings for assigned areas.
Minimum Qualification:
- HS Diploma.
- MS Office including Excel; Outlook; membership accounting systems.
- Data Entry.
- Medical Office/Health Insurance experience 1-2 yrs.
- Ability to communicate with providers and office staff.
- Preferred skills:
- Customer service skills
Job tags
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