What are the responsibilities and job description for the Quality Specialist position at Complete Health?
SUMMARY OF JOB DUTIES :
The person handling this position is responsible for communicating open gaps in Quality Measures to providers and staff in assigned clinic. They will be responsible for ensuring all patients scheduled for an appointment undergo an extensive chart review for any Quality measures that have been completed but not billed to insurance. This person is also responsible for making sure completed Quality Measures are billed to the appropriate insurance plan.
ESSENTIAL JOB FUNCTIONS :
Make sure all pertinent open Quality Measures are communicated with provider and staff
Responsible for pulling open gap reports to identify open Quality Measures
Make sure all appropriate CPT II and ICD-10 codes go out on claims
Perform in house testing such as Hemoglobin A1c, urinalysis and DM Retinopathy Screenings
Reach out to patients with open Quality Measures
Communicate with facilities for Quality Measure results
MINIMUM REQUIREMENTS :
Minimum of 2 years' experience as Medical Assistant is required
High School Diploma or equivalent is required
Associate degree or equivalent from two-year college or technical school in medical billing, medical records or related field is preferred
Experience in primary care office, billing / coding, front and back office preferred
Athena EHR experience preferred
Nonremote
Location : 77 W Granada Blvd, Ormond Beach, FL 32174
16.50-$25.00 / hr based on experience
KNOWLEDGE / SKILLS / ABILITIES :
Ability to handle multi-functions / multi-tasks
Ability to problem solve and adapt to a fast-paced work environment
Pay attention to detail, function autonomously
Understanding of community-based organizations
Ability to effectively communicate with the medical staff and Practice Administrators
Basic knowledge of Medical Insurance and CPT coding knowledge / experience preferred
General knowledge of primary care practice, medical clinics, and medical terminology
Excellent verbal and written communication skills
Strong computer skills with knowledge of Microsoft Office applications
Able to effectively utilize an electronic health record
Keep a pulse on the job market with advanced job matching technology.
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution.
Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right.
Surveys & Data Sets
What is the career path for a Quality Specialist?
Sign up to receive alerts about other jobs on the Quality Specialist career path by checking the boxes next to the positions that interest you.
