HEDIS Outreach Coordinator,Bilingual Spanish

Regal Medical Group•Orange, CA

7d•$24 - $25

About The Position

Perform outbound calls to beneficiaries regarding quality measures and surveying patients on simple health questions. The HEDIS Outreach Coordinator will also assist with inputting authorizations, ordering lab work, scheduling appointments with provider and radiology facilities, contacting provider and other facilities to collect medical records.

Requirements

High School diploma.
Bilingual in Spanish required.
Computer literate with knowledge and experience with specific software such as Word, Excel, Access.

Nice To Haves

One year experience in clinical setting preferred.
Familiarity with managed care, commercial and point of service medical care preferred.
HEDIS experience preferred.

Responsibilities

Call beneficiaries to remind them of needed preventative screenings. The goal of these messages are to remind patients, identify if any screenings have already been performed and, if they have not been completed, to assist the beneficiary in any way possible to complete the screenings.
Assist beneficiaries by facilitating orders by their appropriate/designated providers.
Assist beneficiaries in getting needed diabetic blood work orders from their provider. If requested, will assist them in scheduling appointments with lab centers, if requested.
Document all outreaches in internal database.
Be very courteous and friendly on the phone and always remember that patients are our most important customer. Our goal is to assist the patient in completing all measures and answering their questions with professionalism, caring and positive attitudes.
Assist in contacting providers to retrieve records/documents that confirm quality measures have been completed.
Contact beneficiaries to perform basic health screenings such as screening for depression, screening for pain, screening Activities of Daily Living (ADLs), and smoking status.
Filing, faxing, copying and scanning of files, as needed.
Assist in mailings sent to members and physicians, as needed.
Interface with physicians, vendors, members, and internal staff telephonically or in person to obtain data.
Interface with data support to receive needed member lists and provider demographics for the department’s outreaches.
Ability to manage a heavy workload with frequent interruptions and changing priorities in a fast paced environment.
Completes assignments within specified time lines.
Able to work well in a team environment on special projects.
Skill in working independently, but with supervision.
Prepares and maintains records and files that are organized, thorough and readily accessible.
Assist in updating policies and procedures.
When identifies a problem, informs supervisor in a timely manner so the problem can be corrected.
Transmits ideas and information in a clear and concise manner.
Assist supervisor with special duties/projects.
All other duties as directed by management.