Quality Assurance Medical Assistant | Hillsdale Health and Wellness
About The Position
Assist in the day-to-day operations of the Hillsdale Hospital Outpatient Clinic’s referral work queues. Ensure that provider orders for ancillary services are executed/completed and that patients follow through with referrals to lab, radiology, and other referrals. Ensure provider orders to specialty services are executed/completed. Embody the Hillsdale Strong Hillsdale First mantra by monitoring provider referral patterns and informing leadership of referral leakage concerns Responsible for work queue task completion across the Hillsdale Hospital Outpatient Clinics. Make referral/workflow recommendations to clinic leadership based off patterns and data Track quality and regularly work to increase all quality scores and incentives for our clinics. Assist in follow up calls to patients made after they have been seen in ED or inpatient stay as necessary. Schedule patients for various appt types in clinics as needed. Provide recommendations on workflow improvements and serve as an additional resource for ensuring timely completion of authorizations. Assist with coverage of interface work queue. Monitor Outside billing activity for accuracy and report any discrepancies for correction and rebilling. Abide by all regulations, policies, work practices and instructions
Requirements
- High school diploma or equivalent required from an accredited institution
- Previous experience with HEDIS measures, MSSP, and PCMH programs
- Must have excellent customer service, communication, and computer skills.
- This job also requires excellent attendance and attention to detail, plus compassion and empathy.
- Ability to read and interpret financial information and various types of data to assist in making decisions based on the data
- Ability to drive performance improvement to create safe and efficient processes for patient care
- BLS (Basic Life Support) certification (available through Hillsdale Hospital)
Nice To Haves
- Medical Assistant Certification, preferred.
- Experience in healthcare billing, data reporting, and leadership preferred.
- Clinical work experience or background/certification preferred
Responsibilities
- Assist in the day-to-day operations of the Hillsdale Hospital Outpatient Clinic’s referral work queues.
- Ensure that provider orders for ancillary services are executed/completed and that patients follow through with referrals to lab, radiology, and other referrals.
- Ensure provider orders to specialty services are executed/completed.
- Embody the Hillsdale Strong Hillsdale First mantra by monitoring provider referral patterns and informing leadership of referral leakage concerns
- Responsible for work queue task completion across the Hillsdale Hospital Outpatient Clinics.
- Make referral/workflow recommendations to clinic leadership based off patterns and data
- Track quality and regularly work to increase all quality scores and incentives for our clinics.
- Assist in follow up calls to patients made after they have been seen in ED or inpatient stay as necessary.
- Schedule patients for various appt types in clinics as needed.
- Provide recommendations on workflow improvements and serve as an additional resource for ensuring timely completion of authorizations.
- Assist with coverage of interface work queue.
- Monitor Outside billing activity for accuracy and report any discrepancies for correction and rebilling.
- Abide by all regulations, policies, work practices and instructions
Benefits
- Insurance: medical, prescription, dental, vision, life, disability
- Paid Time Off: vacation, holidays
- Retirement: 403(b) with match
- Education assistance & continuing education; many courses offered on-site at the hospital
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
101-250 employees
