What are the responsibilities and job description for the Quality Assurance Coordinator position at Serene Health?
Empowering Wellness, Transforming Lives
Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions : Serene Health, A Positive Choice, and PsycHealth, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.
As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.
Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members.
A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!
Job Summary :
The Quality Assurance Coordinator is responsible for managing and overseeing the quality assurance process for health information. This includes assessing, compiling, correcting, assigning, monitoring, and submitting essential reports related to patients / members and their health plans. These reports must be created in compliance with strict guidelines set by the Department of Health Care Services (DHCS) and healthcare providers.
Responsibilities :
Ensure high-quality standards by establishing and enforcing organizational guidelines.
Maintain a high level of accuracy and attention to detail in all tasks.
Compile and review inbound and outbound reports to ensure accuracy and completeness.
Submit reports to site managers and supervisors within specified timelines.
Adhere to organizational policies, healthcare laws, and regulations, including HIPAA.
Understand and apply DHCS and healthcare provider practices and procedures.
Work effectively to meet deadlines while maintaining high standards of quality.
Navigate and work with multiple health plan Electronic Medical Record (EMR) systems.
Monitor and identify discrepancies or errors within reports.
Adapt quickly to new tasks and changing requirements on a daily basis.
Train staff on policies, procedures, and quality assurance protocols.
Perform additional duties as assigned.
Education and Experience :
High school diploma or GED required; Bachelor's in Healthcare Administration or a related field preferred.
Minimum 1 year of experience in quality assurance or a healthcare role required.
Required Skills / Abilities :
Professional verbal and written communication skills via email, calls and in-person interactions.
Demonstrate excellent multitasking skills and manage competing priorities effectively.
Proficiency in Microsoft Office and other computer tools.
Strong organizational skills with exceptional attention to detail.
Ability to work collaboratively within a team environment.
Bilingual in Spanish preferred.
Physical Requirements :
Prolonged periods of sitting at an office desk on the computer.
Lifting : Able to lift up to 15lbs at times.
Pay range
24 USD
Benefits
Our full-time employees are eligible for the following benefits enrollment after 60 days of employment :
Medical, Dental, & Vision Benefits :
We have various insurance options for you and your family.
Short & Long-Term Disability Benefits :
Protection when you need it most.
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans :
Added security for you and your loved ones.
Flexible Spending Accounts :
Manage your finances with flexibility.
Employee Assistance Program (EAP) :
Support when life throws challenges your way.
401(K) :
Building your financial future with us. Effective after 1 year of employment.
Paid Vacation and Sick Leave :
Flexibility for the planned and unplanned.
Paid Holidays :
Quality time to enjoy celebrations.
Employee Referral Program :
Share the opportunities and reap the rewards.
Company Discount Program :
Enjoy savings on everyday expenses and memberships.
Equal Employment Opportunity
Optima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.
Pre-Employment
Optima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.
Salary : $24
