Date Posted: November 4, 2020

Deadline: August 21, 2020

Organization: Carolina Heath Centers

Location: Greenwood

City: Greenwood

Website: View Website

Job Type: Full Time

Wages/Salary: Job Type: Temporary Pay: $13.77 - $24.09 per hour Benefits: Employee Assistance Program Employee Discount Retirement Plan

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Requirements:

REQUIREMENTS:

Skills:

  • Able to read, write and communicate effectively in writing
  • A working knowledge of clinical terms
  • Proficient in use of computer and keyboard
  • Experience with Excel spreadsheets
  • Able to establish and maintain effective working relationships
  • Knowledge of HIPAA and ability to maintain confidentiality
  • Effective critical thinking and problem solving skills necessary for coordinating care
  • Effective communication skills necessary to clearly inform and educate patients
  • Able to work in a goal-oriented and self-directed manner
  • Able to remain professional and respond appropriately in stressful situations

Physical Abilities:

  • Have the hand-eye coordination and manual dexterity needed to operate a computer, telephone, copier and medical equipment
  • Required to hear and talk
  • Vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus

ADDITIONAL INFORMATION:

Education Requirements:

  • Minimum Associates Degree in a Health Care field; Bachelor's Degree preferred

Work Experience:

  • A minimum of 2-years of work experience preferably in a Health Care setting. Preferred knowledge of Managed Care Medicare Advantage programs.
Job Description:

Urgently hiring. This position is a temporary-to-possible-permanent role.

 

Duties and Responsibilities:

  • Develop and maintain current understanding of Medicare Risk Adjustment measures and quality incentive programs and requirements
  • Review paperwork from Managed Care Organizations (MCOs) and work with provider offices to get this paperwork completed
  • Works directly with contracted Medicare Advantage MCOs to manage their programs and maximize incentives offered by each company
  • Work directly with Chronic Care Management Program to ensure completion of process to optimize payment
  • Target specific patient populations to ensure all patients receive evidence based health maintenance and chronic disease services
  • Contact patients enrolled with MCOs but that have fallen out of care or those who have not yet been established with a provider at CHC
  • Ensure access to care to all CHC services as well as those in the community
  • Document reminders to providers in patients’ chart in the electronic health record system
  • Perform any other duties as assigned by your supervisor

All employees of Carolina Health Centers, Inc. are expected to perform the duties of their job and behave in a manner consistent with the Corporate Philosophy which supports the values of: honesty, integrity, openness, the pursuit of individual and collective excellence, and unwavering mutual respect and appreciation.

 

REPORTING RELATIONSHIPS:

Responsible to:

  • Directly supervised by Director of Quality and Population Health

Interrelationships:

  • Works in cooperation with front-office and clini
Schedule:
Day shift
Monday to Friday
Application Process:
For application guidelines to apply online, mail and email, please use link below.
Employer Address:

113 Liner Dr
Greenwood, SC 29646
United States

Our organization does not discriminate on the basis of race, color, religion, national origin, age, sex, sexual orientation, or disability.