Job description

Shift: Monday-Friday, available between 8:00 AM - 7:00 PM (flexible, 8 hour shifts)

Pay rate : $18-$20/hr

Location: Gilbert, AZ 85297

The position is responsible for managing and coordinating the scheduling needs of the Quality Department for Patients to close HEDIS measures. The Quality Scheduler is an allied health professional who, under the direction of the Quality Manager, performs various administrative duties to achieve targeted goals. This includes providing support for HEDIS quality initiatives and regulatory/contractual requirements, including outreach to members.

Requirements:

• Healthcare customer service experience
• Healthcare Scheduling experience
• Covid vaccination required

ESSENTIAL DUTIES & RESPONSIBILITIES

• Collaborates with Quality Coordinators to schedule visits of varying complexity
• Conducts a minimum of 30 outbound calls per day to members, providers, and other health care professionals in support of Quality initiatives
• Revises calendars due to cancellations/changes and communicates changes with the appropriate personnel
• Receives, proofreads, and verifies reporting from the health plan against internal systems for accuracy and completeness to appropriately schedule appointments
• Ability to utilize multiple systems simultaneously to schedule member visits. Expected number of appointments scheduled per week/month to be determined by Quality Manager based on current business needs
• Demonstrates proper communication with Quality team to ensure accurate scheduling procedures are being implemented to support the scheduling requirements
• Provides high quality customer service to both internal and external customers
• Coordinates follow-up care for members who have abnormal results
• Assists the Quality Coordinator in conducting patient visit reminder calls in advance of scheduled “In Home” appointments
• Process requests for member medical records to close care gaps
• Thoroughly explains and educates members on outstanding HEDIS measures and reason for appointment
• Process member medical records and/or documentation into appropriate location within CarePointe to align with member record
• Assist Quality Coordinators in closing HEDIS measures within CarePointe
• Demonstrates flexibility, willingness, and adaptability to modify work duties as assigned to address competing demands of the organization
• Notifies Quality Coordinators via email of member appointments scheduled
• Ability to prioritize outreach on target lists received from contracted partners
• Brainstorms and strategies on effective ways to meet outlined goals to meet Quality initiatives
• Refers to internal departments for other lines of service that the member may qualify for
• Works overtime or some Saturdays if necessary
• Records and documents all member outreach activity in appropriate systems
• Complete all other duties as assigned.

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Gilbert, AZ 85295: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

• What is the best email to reach you by?
• Are you COVID Vaccinated?

Experience:

• Medical scheduling: 1 year (Preferred)

Work Location: In person

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