Quality and Compliance Specialist

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:

Associate's degree and two (2) years of related patient financial/insurances services 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:

Mon-Friday Days

Message to Applicants:

Recruitment Office: Human Resources