HCQ Specialist
Our Hawaii team is looking for an HCQ Specialist. In this role you'll ensure smooth functioning of all administrative duties as assigned including mail processing, development and maintenance of files (including scanning and records archiving), copying and typing correspondence, tracking pertinent information, data entry, outbound telephonic follow up and inbound inquiries. May require travel via own automobile or day/overnight travel to the Neighbor Islands.
How You'll Contribute:
- Able to use mobile scanner, high volume OCR scanner and/or copier to scan hard copy documents. These include, but are not limited to, medical charts, Annual Wellness Examination forms, provider correspondence, and contracts and amendments.
- Trouble shoots issues with copier/fax machines/scanners. Refers complicated issues to manager and/or IT for resolution.
- Receives and processes daily incoming mail. Date stamps, opens, and routes mail to appropriate HCQ team members.
- Logs incoming certified mail receipts before filing the receipts.
- Receives and logs all HCQ documents/files.
- Maintains an HCQ filing system of project documents and emails.
- Makes outbound calls to physician and clinic offices and patients using scripted messages to assist with scheduling and performing chart retrievals, annual wellness visits and other HCQ activities.
- Monitors, tracks and performs follow-up with providers, clinics and members for completion of chart retrieval, Annual Wellness Assessments activities and other HCQ activities
- Receives inbound calls from physicians, clinic office staff and patients.
- Ability to triage calls and answer simple questions outlined in the FAQ document, transfer medium to complex calls to appropriate team members via the call transfer list, submit Helpdesk inquires for IT related issues and accurately logs all calls.
- Assists with preparation of training materials, educational tools, forms and other documents for meetings, seminars and presentations and the coordination of external events and education sessions.
- Listens and interprets inquiries/comments from members, providers and co-workers and willingly shares knowledge with other members of the team and proposes solutions to simple issues.
- Escalates issues to management as needed.
- Assists various departments with special projects as requested.
- Assists with liaison meetings between MDX Hawai‘i functional areas.
- Assists with provider meetings, seminars and direct mail activities as assigned.
What You'll Bring:
- Pleasant telephone manner and customer relations skills.
- Experience working in a healthcare setting, medical billing or medical records office and a basic understanding of health insurance plans.
- High school diploma or equivalent. 2 years related experience in an office setting; or equivalent combination of education and experience.
- Current/valid Hawai‘i Driver’s License.
- Proof of Hawai‘i No-Fault Auto Insurance.
- Clean driving record as evidenced by a recent driver’s abstract (to be provided by the employee).