Administrative Coordinator 2-University Family Physicians (Knoxville)

University of Tennessee•Knoxville, TN

About The Position

The Administrative Coordinator monitors, tabulates, and reports the pay for performance, episodes of care, and gap management for insurance companies for the University Family Physicians' clinical practice. This position maintains the patient portal system by troubleshooting issues, establishes and monitors the Health Information Exchange with outside practices, and assists patients in registering and utilizing the system for communications with the practice.

Requirements

Bachelor’s Degree. (TRANSCRIPT REQUIRED)
Two (2) years of experience working in the healthcare field; OR a combination of education and experience to equal six (6) years.
Proficient in Microsoft Office programs including Word, Excel, and Access.
Ability to multitask, train/teach others, and attention to detail.
Strong verbal and written communication and time management skills required.

Responsibilities

Communicates with each commercial insurance company on pay-for-performance measures, episodes of care, and any other quality initiatives.
Gathers quality gaps data and compiles monthly reports for each commercial insurance company to monitor quality gaps for the patient population at University Family Physicians.
Reviews reports for episodes of care quarterly and compiles information at the practice level to monitor data for University Family Physicians.
Monitors quality metrics on the Clinical Quality Reporting (CQR) system weekly to ensure the University Family Physicians clinic meets the metrics for the Merit-based Incentive Payment System (MIPS).
Compiles month-to-month reports as well as year-to-date reports.
Presents all quality data reports to the Quality Programs Task Force Committee.
Identifies opportunities for improvement and researches possible workflow solutions on quality metrics.
Coordinates with the Medical Records Administrator/Quality Manager to create workflows to ensure University Family Physicians is adhering to quality metrics and requirements.
Collaborates with the Medical Records Administrator/Quality Manager to educate clinical and administrative staff on new workflows for quality metric improvements.
Reviews Medicare patient appointments for eligibility for annual well visits weekly and communicates patient eligibility to clinical staff.
Submits provider assessment forms to insurance companies to aid in closing quality gaps and to increase reimbursement.
Monitors member rosters from insurance companies and CMS to ensure lists accurately display patients assigned to University Family Physicians and submits any corrections to the insurance company.
Answers incoming calls from patients regarding patient portal access and problems accessing the system.
Monitors the Health Information Exchange through the patient portal secure messaging system with outside providers.
Generates weekly reports to monitor Patient Portal Access and submit messages to patients to provide access.
Performs other duties as assigned.