Job Summary :
The Quality and Compliance Specialist will perform standardized patient check-in and check-out procedures including registration activities such as entering and / or verifying demographic, insurance and / or financial information;
generates routine forms and other documentation. Will also work with / advise patients on insurance carrier requirements including services not covered and obtains documentation, collects patient co-pays, etc.
and tracks / accounts for monies collected on a daily basis. Responsible for statistical reporting to ensure clinic compliance with HEDIS measures and Quality Care Incentive Programs available from multiple insurance providers.
Overseeing and ensuring PCMH accreditation and requirements, and provide training and oversight to ensure that standards are being met in all PCMH designated clinics.
Minimum Qualifications :
Associate's degree and two (2) years of related patient financial / insurances services experience preferably in a hospital setting or equivalent combination of education and experience required.
Preferred Qualifications :
Bachelor's preferred. Knowledge of PCMH accreditation and standards strongly preferred.
Work Days :
Monday to Fridays between 7am-8pm.
Quality and Compliance Specialist
The Quality and Compliance Specialist will perform standardized patient check-in and check-out procedures including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generates routine forms and other documentation. Overseeing and ensuring ...
Payroll & Compliance Specialist.
Provide accurate & timely payroll processing for a 1,800+ growing global workforce located in the US, Ireland, Australia, UK, Portugal & the Netherlands. Our team of more than 1,700 is headquartered in bustling New York City, with offices in Chicago, Dublin, Ireland, Aveiro, Portugal, & coworking sp...
Human Resources Specialist: Compliance and Employee Relations
This role additionally assists in the administration of collective bargaining agreements and employment policies and assists in discipline and grievance procedures, including investigation and preparation of background and fact gathering, and correspondence with management and union leadership. This...
RN Unit Manager: Sub-Acute *Sign On Bonus $5000*
Registered Nurse (RN) Unit Manager Sub Acute Unit. Bishop Center for Rehabilitation and Nursing is actively seeking a full-time Registered Nurse (RN) Unit Manager for our Sub-Acute Rehab Unit in our skilled nursing facility in Syracuse, NY. Assures quality of care by adhering to Facility philosophie...
Construction Project Manager
Nesco Resource is seeking a skilled Construction Project Manager looking to lead dynamic projects without the hassle of constant travel! Join our client’s team in Syracuse, NY, where you'll manage exciting, high-profile construction projects—all in your local area. The Project Manager manages all as...
Project Manager.
As Project Manager you are the director of the client projects you are the one who knows how to make things happen. Keep projects running smoothly, develop project plans for new work, ensure that creative can be produced within specified timeframes, efficiently manage & communicate milestones throug...
Project Manager, Structuring and Financing
The Project Manager, Project Structuring and Financing will support our sales, project development, and project management teams and will function as both a subject matter expert and internal resource. NORESCO has an immediate need for a Project Manager, Project Structuring and Financing to research...
Sr. Compliance Advisory Manager
Senior Compliance Advisory Manager. This position requires close partnership with our financial crime compliance operational and product teams, with opportunities to present to senior stakeholders and shape the strategic direction of the financial crime compliance program. Represent fincrime complia...
Supplier Quality Engineer
Microsoft Certified Azure Security Engineer (AZ-). ...
Project Manager - NY
As our Project Manager, you’ll be the driving force behind our most critical projects. Certification: Project Management Professional (PMP) and other project management certification. We tackle complex projects head-on and deliver results that exceed expectations. Impactful Work: Lead projects...