Position Summary:
Our Health Home Department at Urban Health Plan is not a physical place, nor a residence, nor a 'Home Health' program. Instead, it is a specialized service provided to patients that are enrolled in Medicaid who have two or more chronic health conditions (e.g. Asthma, Diabetes) or other qualifying conditions that include HIV/AIDS, or SMI.
As a member of the Health Home Division- the Quality Control Specialist (QCS) is responsible for processing health home billing and Quality Assurance standards within the team, ensures compliance with all regulatory and documentation standards and conducts routine audits to maintain data integrity, identify discrepancies, and support accurate, timely billing.
This position is considered intermittent hybrid, meaning the primary duties are remote and also require a minimum of 2-4 monthly onsite days within our Bronx offices.
Key Duties:
- Review Health Home billing and resolve errors or discrepancies.
- Performs quality assurance checks on documentation, Health Home documents and services.
- Maintain and update excel trackers for program data and performance metrics.
- Develop reports using data to track trends, performance and gaps.
- Conducts quarterly chart audits to ensure accuracy in documentation and services.
- Assists with QA initiatives
- Engages in a variety of administrative support activities including data entry, filing, scanning, and other duties as assigned by the supervisor.
Minimum Qualifications:
- HS Diploma required (Advanced education or certifications in billing, excel, or health information management is a plus)
- 1-2 years of previous experience with billing, reporting, medical records, tracking.
- Advanced level of proficiency with Microsoft Office, including Microsoft Excel.
- Bilingual English/Spanish is required.
- Commitment to excellence and INTEGRITY!
Starting Compensation: $45,560/annum based on 40 hours per week
Work Environment Type, Location, and Schedule:
Candidates must possess availability to work 5-day shifts including Monday thru Friday either 8am – 5pm or 8:30am-5:30pm. Is an Intermittent Hybrid position, flexible to come Onsite 2 or 4 Wednesday out of the month. Location is 953 Southern Boulevard Ave.
About Urban Health Plan:
At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. At UHP, our commitment to provide patient-centered, holistic, quality health care, is part of a tradition started by our founder, Dr. Richard Izquierdo, more than 50 years ago. That tradition continues today by promoting excellence in everything that we do.
Benefits Include:
- Fully funded Health Insurance for yourself
- 73.5% funded Health Insurance for your family
- Dental Insurance
- $50,000 term life Insurance
- 401(k) Retirement Savings (including annual UHP Contribution)
- Comprehensive time off including paid vacation, personal time, sick time, and paid holidays (including your birthday!).
UHP is an equal opportunity employer. M/F/D/V. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, sexual orientation, gender identity, gender expression, national origin/ancestry, citizenship status, disability, age, marital or family status, and military or veteran status.