What are the responsibilities and job description for the Quality and Compliance Specialist position at Upstate Medical University?
Job Summary
The Quality and Compliance Specialist will perform standardized patient check-in and check-out procedures including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generates routine forms and other documentation. Will also work with/advise patients on insurance carrier requirements including services not covered and obtains documentation, collects patient co-pays, etc., and tracks/accounts for monies collected on a daily basis. Responsible for statistical reporting to ensure clinic compliance with HEDIS measures and Quality Care Incentive Programs available from multiple insurance providers. Overseeing and ensuring PCMH accreditation and requirements, and provide training and oversight to ensure that standards are being met in all PCMH designated clinics.
Minimum Qualifications
Associates degree in related field and two years of relevant experience, preferably in a hospital setting or equivalent combination of education and experience required.
Preferred Qualifications
Bachelor's preferred. knowledge of PCMH accreditation and standards strongly preferred.
Work Days
M-F Days
Message To Applicants
This position is located at the Community Campus
Recruitment Office: Human Resources
The Quality and Compliance Specialist will perform standardized patient check-in and check-out procedures including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generates routine forms and other documentation. Will also work with/advise patients on insurance carrier requirements including services not covered and obtains documentation, collects patient co-pays, etc., and tracks/accounts for monies collected on a daily basis. Responsible for statistical reporting to ensure clinic compliance with HEDIS measures and Quality Care Incentive Programs available from multiple insurance providers. Overseeing and ensuring PCMH accreditation and requirements, and provide training and oversight to ensure that standards are being met in all PCMH designated clinics.
Minimum Qualifications
Associates degree in related field and two years of relevant experience, preferably in a hospital setting or equivalent combination of education and experience required.
Preferred Qualifications
Bachelor's preferred. knowledge of PCMH accreditation and standards strongly preferred.
Work Days
M-F Days
Message To Applicants
This position is located at the Community Campus
Recruitment Office: Human Resources
