KCN Practice Specialist
About The Position
The KCN Practice Specialist coordinates with Kootenai Care Network (KCN) providers through in-person and virtual interactions to improve the efficiency and effectiveness of work serving KCN patients and meeting network and payer requirements. The role supports independent provider practices by providing resources and best practices to reduce the burdens of population health management and address operational challenges related to care for KCN patients. KCN focuses on population health tools and methodologies that support independent providers participating in value-based contracts. Because practices have distinct needs, staffing, providers, and electronic health records, the specialist helps review quality components of value-based performance contracts and supports clinics with operational workflows, training, and EHR content. The position is remote eligible.
Requirements
- At least 2 years of experience working in a hospital, medical office, or health insurance setting.
- An applicable credential or license is required: CMA certification through AAMA, NHA, or NCCT; or a Pharmacy Technician license with the Idaho Board of Pharmacy and CPht.
- Ability to represent KCN positively and collaboratively with community partners and other stakeholders.
- Ability to work independently and manage multiple tasks and projects with strong attention to detail.
- Strong communication skills and ability to work as part of a team.
- Willingness to be flexible, adjust to changing priorities, multitask, and troubleshoot problems.
- Strong organizational skills and attention to detail.
- Customer service skills and professionalism.
Nice To Haves
- One year of project management and/or direct training experience.
- Familiarity with third-party government programs or commercial insurance, especially registration and insurance verification.
- Proficiency in electronic medical terminology, confidentiality, HIPAA, and electronic health record systems.
Responsibilities
- Provide support to assigned KCN clinics and practices, performing complex administrative duties such as composing correspondence and coordinating resources across departments.
- Optimize workflows and train clinic and practice employees and providers on clinical and non-clinical processes, in collaboration with and at the direction of leadership.
- Build and maintain EHR content and settings related to Clinical Content, Revenue Cycle, Ambulatory, Contracting, and other modules, aligning them with industry best practices and organizational needs.
- Develop and maintain the KCN support project schedule with the team supervisor to ensure clinic needs are addressed.
- Provide KCN member clinics with best-practice training for operational success.
- Assist clinic leadership in monitoring compliance with legal guidelines, internal policies, and quality standards.
- Develop expertise in KCN best practices and guide network clinics on operational procedures and policies to support successful adoption of new processes.
- Advise on patient flow, paperwork administration, patient communications, and clinic operations.
- Develop strategies and plans for member clinic locations in accordance with KCN standards for patient service and practice growth.
- Apply a solution-oriented approach and execute work within KCN operational standards.
- Follow up with low-risk patients after hospitalization, emergency room visits, or appointments with primary care and specialty providers to strengthen patient connections to services.
- Maintain regular and predictable attendance.
- Meet the age-specific needs of the assigned unit.
- Perform other duties and responsibilities as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
