About the role This is a remote, full-time hourly position, and we are looking for candidates who can start immediately. This Remote Medical Assistant role will support the execution of workflows and operational processes that enable Generator Health to fulfill its mission of expediting access to critical medications. This work involves direct interaction with systems and procedures that affect the experience of both patients and providers. This is a role that requires quickly learning and applying complex operational processes. You will tackle operational hurdles within the healthcare space, gaining the specialized knowledge required to drive efficiency and quality. You will also regularly engage in real-world, intricate scenarios around prescription access and coordination. If you join, you will: - Immerse yourself in complex, medical workflows, and directly interface with patients and providers - Be part of the team that ensures that administrative friction never stands in the way of access to life-changing therapies - Become an expert in the complex world of medication access & affordability. You will work with doctors' offices, insurance companies, affordability programs, and pharmacies to help get prescriptions processed efficiently - Master proprietary software tools to execute operational workflows efficiently while continuously adapting and optimizing processes - Build an understanding of how AI is applied to workflows across healthcare We’ll be most excited if you: - Have experience in a healthcare operations role that includes prior authorization work (e.g. medical assistant, pharmacy technician) or have demonstrated strong performance across pre-med coursework - Have experience in a role that requires operational rigor and outcome ownership - Know how to deal with ambiguous problems and effectively resolve - Able to master new complex technology tools quickly and work with data Our salary ranges are based on a number of factors, including qualifications, experience level, and geography. Generator Health is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.

Company: AHI agilon health, inc. Job Posting Location: Remote - USA Job Title: ​ Support Specialist Job Description: ​ The HEDIS Abstractor and Overreader is responsible for the HEDIS Medical Record Review (MRR) process which includes accurately reviewing and abstracting medical records to determine compliance with HEDIS measure specifications, as well as conducting overreads to ensure data quality, consistency and adherence to NCQA guidelines. This role will work closely with internal and external stakeholders to ensure medical charts meet standards as outlined by HEDIS specifications and will partner with health plans to understand correct and consistent implementation of audit and testing processes for HEDIS measures. Essential Job Functions: • Review and abstract clinical data from electronic medical records in alignment with HEDIS technical specifications • Perform overreads of abstracted medical records for accuracy, completeness and measure compliance • Demonstrate high level of proficiency in HEDIS measures and coding standards (including but not limited to ICD-10, CPT and CPTII) to close gaps in care • Collaborate with internal and external partners to resolve documentation discrepancies and provide recommendations for improvement • Support audit preparation and participate in internal quality reviews and training sessions • Manages all activities to meet health plan contractual and reporting timeframes • Identify trends in abstraction that may impact measure performance or audit readiness and proactively escalate to leadership Other Job Functions: - Other duties as assigned. Required Qualifications: Minimum Experience - Minimum of 2 years’ experience working with NCQA HEDIS programs and/or HEDIS abstraction in all measures - Proficiency in EMR platforms (i.e., Epic, Cerner) and abstraction tools - Familiarity with Medicare Advantage lines of business and Stars Measures - Familiarity with supplemental data processes and quality data integration Education & Licensure - High School Diploma or equivalent required Skills and Abilities: - Ability to be a team player and exercise initiative in responding to team members or Sr. Manager. - Thorough understanding of medical record documentation and medical terminology - High level of attention to detail and ability to follow direction on project deadlines - Ability to work independently - Strong language skills in English speaking and understanding - Ability to meet high productivity requirements and Interrater Reliability standards - Strong Excel skills - Ability to interpret compliance vs non-compliance on health plan gap file use to direct abstraction efforts. - Ability to apply deep level of measure understanding to legal medical records - Strong Adobe skills (including saving records in PDF format and annotation) - Ability to interpret large data files for needed abstraction - Deep level of ability to recognize medical records that are not complete or are missing needed data points in overreading - Ability to report clearly on both positive or negative findings and apply possible solutions on Team calls Location: ​ Remote - TX Pay Range: ​ $24.00 - $28.70 Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.

Position Title Patient Scheduling Associate KUCC - East - Lee's Summit Position Summary / Career Interest: The Patient Scheduling Associate provides the highest level of customer service as they assist patients with routine scheduling of new and follow-up appointments requested by patients and providers and may also contact patients who have received a specialty referral. The Patient Scheduling Associate also assists patients with insurance registration with The University of Kansas Health System's outpatient clinics. This work may be done away from the front desk of a clinical area and could include work in a call center setting taking large volumes of patient phone calls. (Employees in the call center setting may have the opportunity to work remotely from home after demonstrating consistent competency with job duties.) In the clinical location, this role is responsible for front desk operations including greeting and checking in customers and visitors, copay collection, completing MyChart and EMR (Electronic Medical Record) appointment requests, processing external medical records and helping the physician care team prepare for daily patient appointments. Responsibilities and Essential Job Functions - Position responds to a high-volume of incoming telephone calls. Answers phone calls in a timely manner; provides complete and accurate exam related information to the patient regarding prep and other exam related notes; keeps work area organized and scheduling information readily available; maintains productivity within benchmark levels. Works to achieve a coordinated patient itinerary sometimes consisting of multiple appointments. - Educates patients on providing medical records and other medical documentation needed for TUKHS appointments. Verifies patient demographics and insurance information and verification, completing the Medicare Secondary Payer Questionnaire (MSPQ), scanning document preparation, updating documentation and processing of referrals/order/appointment requests. Scheduler maintains discretion and protects patient confidentiality and privacy. Secures patient signatures for consent and financial forms. Familiarity with insurance coverage types (HMO, PPO, VA, Medicare). Identifies insurance plans and specific procedures which need to be pre-approved. Pre-certifies required tests and procedures. Preauthorization of clinic specific visits and procedures as needed. - Pre-Visit Scheduling Schedule internal and external incoming department referrals. Complete order entry using hospital information system or manual order forms (test requisitions) including cancellation or modification of orders as required. Review all clinic orders for date, time, signature, and pagers. Verifies referring physician orders against scheduled appointments for accuracy. - Supports both front desk and scheduling (telephone and MyChart) workflows. May assist patient with MyChart activation and support, including how to complete check-in online prior to the appointment. Responsible for supporting patient through self-check-in utilizing MyChart and the EMR. Ensure proper front desk coverage until last patient is dismissed from the clinic and any follow-up visits are scheduled. Responsible for outpatient clinic direct rooming - Schedules/reschedules/cancels in person appointments, telehealth visits, surgeries, procedures and/or ancillary services and all incoming department referrals using Epic Cadence decision trees in a courteous, professional and timely manner; accommodates all scheduling requests; prioritizes exams based on clinical indications and contraindications; confirms patient appointments. - Responsible for collecting all point of service collections due per the EMR generated patient estimate including copay, co-insurance, and deductibles. Follows and completes all standard registration documentation and scanning process in the Health System EMR. Efficiently navigates medical records and ensure patient information is up-to-date and accurately entered in the correct location. - Effectively communicates Health System Policies to patients and patient advocates. Uses reference documents and online knowledge base tools to clearly articulate accurate information regarding SHC services. - Has a working knowledge of patient related policies and procedures as well as an understanding of the University of Kansas Health System services and programs. Employees are expected to follow all health system policies and procedures: personal protective equipment (PPE) guidelines, attire, etc. - Follows all regulatory and compliance standards, documented protocols and guidelines, daily maintenance of workspace and following environmental health cleaning guidelines. - Maintains knowledge and understanding of scheduling protocols and guidelines, patient registration, pre-certification requirements and basic levels of health insurance and billing procedures. Maintains knowledge of order entry and scanning capabilities as job requires. Position may manage departments Scheduling Inbasket and voicemails. - Patient specific labels; apply patient labels to progress notes, order forms, and other patient specific forms as needed. - Establishes and maintains productive working relationships with providers and the clinical care team. Communicates with the care team and supports staff on various patient issues. - Understands patient experience performance expectations for ease of scheduling appointment, degree to which you were informed of delays, likelihood to recommend practice, courtesy of front desk and staff worked together for your care. Supports and participates in patient experience initiatives including marking campaigns and event registration. - Attends and participates in department clinic daily huddles and process improvement initiatives and any staff training or education activities relating to job position. - Enters referrals and pre-certifications in hospital information system, makes copies and forwards to appropriate parties. Responds to outgoing telephone calls and faxed referrals. - Employees in some departments may be asked to provide coverage at alternate locations to meet critical staffing level needs, as deletaged by management. - Demonstrates the initiative to assist others and other shifts as needed. Assists Team members as assigned/needed. Lower level positions in this family may shadow higher level positions. - Post-Visit (Check-out/Follow Up Scheduling)Schedule follow up internal and external diagnostic and therapeutic orders creating a patient itinerary based on provider orders. - Assigned to work Appointment Request WQ – including proper filtering and prioritization in accordance with specialty standards. - Call support and ancillary departments as needed (EVS, transport, lab, pharmacy, radiology, volunteer, etc). Transport items to ancillary departments as needed (blood to laboratory, retrieve/deliver patient belongings, charts to medical records, etc) and pick up any items if required. - Supplies: Ensure that supplies are stocked, including copy, printer, and fax machines with paper and all forms. - Call for consults using appropriate consult forms as a guide. - Must Meet the competencies for this role before being eligible for advancement to next level scheduling role. - Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. - These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required. Required Education and Experience - High School Graduate or GED. - Six months direct customer service in a health care field, customer service or contact center environment Preferred Education and Experience - College coursework completed towards an Associate’s or Bachelor’s Degree - 1 or more years direct customer service in a health care, hospital or contact center environment Required Language Skills - Fluent English - Ability to read, write, speak, and understand. Knowledge Requirements - Basic computer skills including Microsoft Excel, Word, Outlook and Teams. - Ability to maintain patient confidentiality - High level of customer services skills focusing on problem resolution Time Type: Full time Job Requisition ID: R-48937 Important information for you to know as you apply: - The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion. - The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu. - Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP. Need help finding the right job? We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.

• Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, CPT codes and modifiers as applicable, leading to the assignment of the correct Ambulatory Payment Classification (APC) • Validates outpatient accounts for medical necessity based on local coverage determination policies (LCDs) or national coverage determinations (NCDs) • Codes procedures as appropriate and identifies the principal procedure consistent with established coding guidelines • Collaborates with Clinical Documentation Specialists and members of the medical staff to ensure completeness of documentation