The representative manages over 100 calls daily, handling appointment scheduling and detailed message taking for providers. They must also utilize independent judgment to triage urgent versus routine patient matters while navigating insurance and referral protocols.
Accurately and productively code inpatient medical records to meet reimbursement, indexing, and statistical requirements. Maintain production and accuracy standards consistently.
The Quality Specialist is responsible for creating and implementing a vision for improved clinical outcomes in private practice settings. They will collaborate with leadership to close care gaps, manage HEDIS and Star ratings, and oversee clinical training activities.
