Hybrid Medical Scheduler

Description

 The Company:

This role is with Leading MDs. Leading MDS is a new kind of healthcare company that serves health plans and provider organizations an integrated system-of-care comprised of clinical and social services backed by a robust technology platform. By engaging individuals with virtual, in-home, in-clinic and in-facility care options, Leading MDs delivers advanced community-based health services that allow our clients to live healthier, more independent lives.

 The Scheduling Coordinator must be ready to work in our fast-paced office environment while also having the ability to work in multiple systems efficiently. The Scheduler will be responsible for managing and coordinating the scheduling needs of the Quality Department for Leading MDs Patients to close HEDIS measures. The 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. 

 Essential Duties and Responsibilities:

• Conducts telephone calls to members, providers, and other health care professionals and organizations in support of care initiatives.
• 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
• Works overtime or some Saturdays if necessary

 Benefits:

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

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: Hybrid

Requirements

 Qualifications/Skills:

• High school diploma or GED equivalent required
• 1+ years' experience in a healthcare environment
• Basic knowledge HCC’s and Medical Diagnosis (preferred)
• Medical Assistant Certification and or Certified Nurse Assistant (preferred)
• Experience with verifying Eligibility and navigating through Insurance Portal

Leading MDs EEO Statement:

All Leading MDs divisions are Equal Opportunity Employers. We do not discriminate on the basis of race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status or any other status protected under federal, state or local laws.

Leading MDs is a drug free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.

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