Pacer Staffing LLC

Quality Improvement Specialist

Pacer Staffing LLC United States

Job Title: Quality Improvement Specialist

Location: Remote Role

Duration: 3 Months

Shift: Monday - Friday 8:30 AM - 5:30 PM

Job Description

Job Responsibilities:

  • HEDIS engagement – member outreach calls; appointment scheduling; customer service; provider outreach.
  • Record requests.
  • Chart abstraction, medical record retrieval via fax/email,
  • Follow-up call to providers for medical record request.
  • Assist with the development and coordination of all core health services data reports.
  • Support the development of quality improvement performance audit function processes and tools.
  • Assist in designing, running, managing, and data review process for assuring accuracy and integrity of health services data reports to meet regulatory and operational requirements.
  • Report outcomes and quality monitoring results to management.
  • Assist with managing databases, policies and procedures related to assigned areas.
  • Assist with related activities for various committees and meetings for assigned areas.

Minimum Qualification

  • HS Diploma.
  • MS Office including Excel; Outlook; membership accounting systems.
  • Data Entry.
  • Medical Office/Health Insurance experience 1-2 yrs.
  • Ability to communicate with providers and office staff.
  • Preferred skills:
  • Customer service skills
  • Seniority level

    Associate
  • Employment type

    Full-time
  • Job function

    Quality Assurance
  • Industries

    Staffing and Recruiting

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