ACO Patient Care Representative

Job Description Conducts pre-visit chart reviews of patients, identifying needed preventive health maintenance and immunizations. Completes daily chart preparation prior to patient appointments. Performs medical record reviews, data collection, chart abstractions, reporting, and analysis. Coordinates and performs onsite medical record reviews. Identifies patients overdue for visits, labs, or referrals, and arranges follow-up services to assist with care gap closure. Assists in developing and implementing frontline practice strategies to address and close care gaps and increase compliance with preventive care recommendations. Researches best practices, national and regional benchmarks, and industry standards of care. Collaborates with leadership to produce reports, and evaluates utilization and quality performance indicators. Monitors for adverse trends and recommends modifications and corrective actions. Participates in relevant committees and work groups, making presentations and preparing reports, data, or other materials for presentations. Other duties as assigned. Knowledge, Skills, and Abilities Communicate Effectively both verbal and written: Convey information and ideas clearly and concisely to individuals or groups in an engaging and culturally sensitive manner that helps them understand and retain the message; simplify and cascade messages effectively in complex environments to ensure understanding and aligned behavior; listen actively to others. [Required] Display Emotional Intelligence: Establish and sustain trusting relationships by accurately perceiving and interpreting own and others’ emotions and behavior; actively seek feedback on performance and behavior in order to continually improve; leverage insights to effectively manage responses so that one’s behavior matches the AH mission, purpose, and values, and delivers intended results. [Required] Drive for Results: Translate strategic priorities into operational reality; create a culture of accountability and ensure performance standards are met; define and monitor processes to foster results; establish and develop sign-off points and best practices to maximize results. Plan, organize, and prioritize work with attention to detail to achieve goals and objectives. [Required] Focus on Consumers: Ensure that the consumer perspective and quality healthcare is a driving force behind activities; craft and implement service practices that meet consumers’ needs and organization values. [Required] Ability to work independently and with the team. [Required] Adaptability and flexibility. [Required] Strong computer skills in Microsoft office. [Required] Understanding of care gap closure and value-based care. [Preferred] CPT and ICD coding. [Preferred] Understanding of HEDIS, HCC, RAF requirements. [Preferred] Knowledge of health insurance and managed care industry. [Preferred] Previous experience with electronic medical records. [Preferred] Education Associate. [Preferred] High School Grad or Equiv. [Required] Field of Study in a health related field. Work Experience 1+ experience in a healthcare environment. [Preferred] Additional Information N/A Licenses and Certifications American Association Medical Assistants (CMA) [Preferred] OR Clinical Medical Assistant Certification (CMAC) [Preferred] OR Registered Medical Assistant (RMA) [Preferred] OR National Certified Medical Assistant (NCMA) [Preferred] OR Certified Clinical Medical Assistant (CCMA) [Preferred] OR Nationally Registered Certified Medical Assistant (NRCMA) [Preferred] Physical Requirements Physical Requirements - Please click the link below to view work requirements Physical Requirements - Pay Range $18.72 - $29.95 Benefits Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule Full time Shift 24 Hours (United States of America) Address 777 S Burleson Blvd City Burleson State Texas Postal Code 76828 Equal Opportunity Statement This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. #J-18808-Ljbffr AdventHealth