The Quality and Compliance Specialist will provide services for both The Nappi and Community Family Medicine Clinics. Will be responsible for oversight of panel management for the Family Medicine Clinics and 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.
Associate's degree and two (2) years of related patient financial/insurances services experience preferably in a hospital setting; or 4 years of related patient financial/insurances experience; or equivalent combination of education and experience required.
Bachelor's preferred.
Knowledge of PCMH accreditation and standards strongly preferred.
Monday - Friday, Days, Hours dependent on operational need
Position is split 50/50 between Nappi and Community Family Medicine Clinics.
Recruitment Office: Human Resources
Executive Order:
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.
We are an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status or disability or other protected classes under State and Federal law.
Thank you
Thank you for sharing!
Thank you
Cookies are small pieces of information that are stored by the user's browser on the hard drive of a personal computer. The use of cookies is a standard practice among Internet Web sites. Most of Upstate's Web sites do not use cookies, however occasional "session cookies" may be used to enhance or customize a visit to Upstate's Web sites. Session cookies can be created automatically on the device used to access Upstate's Web sites, and do not contain personal information and do not compromise privacy or security. We may use the cookie feature to store a randomly generated identifying tag on the device used to access Upstate's Web sites. A session cookie is erased when a browser is closed.