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AVAILABLE OPPORTUNITIES - FOR BUSINESS OFFICE:
Analytical Quality Improvement Assistant
The Analytical Quality Improvement Assistant at United Medical will provide high-quality analytical and problem-solving assistance. This position not only requires many typical duties of an assistant, but also a high level of flexibility. There is no limit to the type of jobs and functions the CEO may require, which is why individuals in this role must have a confident, can-do attitude.
Work independently and within a team on special nonrecurring and ongoing projects
Conduct patient audit and review for insurance analysis and improved revenue
Multi-task through several different healthcare databases with ease
Operate closely with CEO to gather insight on risk and cost trends within insurance-provider landscapes.
Organize healthcare data into usable format to provide benchmarks for future performance.
Applying data analytics knowledge to identify quality improvement opportunities within provider care and assist in the training of providers on these opportunities.
Anticipate potential patient health concerns and implement solutions for their benefit.
Communicate with insurance companies to ensure the expedient processing of patient claims and decrease in denials.
Follow all United Medical policies, uphold professional standards, and perform work responsibilities in a manner that is respectful to colleagues
Perform other duties or projects as needed by the CEO
Clean Motor Vehicle Record, valid drivers’ license and proof of insurance
Willingness to make frequent phone calls
Willingness to learn
Required Education and Experience
Bachelor’s Degree or higher.
Objective / Essential Job Functions
Care Coordinators are responsible for the follow-up and scheduling of services United Medical provides for their clients. This position acts as a liaison between patients and their physicians. Working both independently and collaboratively with your supervisor/team in a high qualitative and productivity driven environment, you can expect to perform the following:
Essential Job Functions:
Manage hospital admissions and discharges census for several Delaware hospitals
Schedule patients for follow-up appointments with primary care physicians and specialists after hospital discharge and for routine care, as required
Frequent clinical patient phone contact (inbound/outbound) to aid providers in efficient and quality patient care
Document patient contact results in electronic health record
Utilize internal database system to track and organize workflow for patient contact and record results
Utilize electronic health records to evaluate services provided and track information in database
Manage monthly insurance rosters to schedule new patient appointments or current patients for preventative services
Generate and send population management letters to patients to follow up regarding phone contact results
Use, protect, and disclose patient’s protected health information (PHI) in accordance with Health Portability and Accountability Act (HIPAA) standards
Follow all United Medical policies, uphold professional standards, and perform work responsibilities in a manner that is respectful to others