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HEDIS Specialist at Borinquen Health Care Center
Miami, Florida, United States - Full Time
Skills Needed
Bilingual, Computer Literacy, Interpersonal Skills, Customer Service, Quality Management, Data Entry, Patient Scheduling, Care Management, Hedis, E.H.R., Documentation, Auditing, Communication, Problem Solving, Collaboration, Organization
Specialization
An associate degree is required, along with strong organizational skills and bilingual proficiency. A minimum of one year of customer service experience and a clinical background with case management experience are preferred.
Therapist / Wellness Specialist at Borinquen Health Care Center
Miami, Florida, United States - Full Time
Skills Needed
Effective Communication, Organization Skills, Flexibility, Problem Solving, Listening Skills, Written Communication, Knowledge Of Substance Use, Mental Health Practices, Crisis Counseling, Support Group Facilitation, Documentation Skills, Team Collaboration, Bilingual Communication, Client Outreach, Interpersonal Skills, Confidentiality
Specialization
Candidates must have Florida licensure or be working towards licensure in relevant fields, and fluency in English and either Spanish or Haitian-Creole is required. Strong interpersonal skills and the ability to handle confidential information are essential.
Referrals Specialist at Borinquen Health Care Center
Miami, Florida, United States - Full Time
Skills Needed
Interpersonal Skills, Bilingual, Confidentiality, Patient Counseling, Appointment Coordination, Referral Management, Insurance Verification, Communication, Problem Solving, Team Collaboration, Attention To Detail, Time Management, Data Entry, Follow Up, Customer Service, Professional Rapport
Specialization
A high school diploma or equivalent is required, along with 0-3 years of experience. Bilingual candidates are preferred, and strong interpersonal skills are essential.
Licensed Mental Health Counselor at Borinquen Health Care Center
Miami, Florida, United States - Full Time
Skills Needed
Crisis Counseling, Documentation, Client Treatment Planning, Mental Health Education, Interpersonal Skills, Confidentiality, Bilingual Communication, Team Collaboration
Specialization
Candidates must have a Master's Degree in a relevant field and Florida licensure as a mental health professional. Bilingual proficiency in Spanish or Haitian Creole is required, along with strong interpersonal skills.
Endocrinologist at Borinquen Health Care Center
Miami, Florida, United States - Full Time
Skills Needed
Endocrinology, Analytical Abilities, Decision Making, Interpersonal Skills, Communication Skills, Organizational Skills, Problem Solving Skills, Research Skills, Medical Equipment Proficiency, Multilingual Ability
Specialization
Candidates must have a medical degree in Endocrinology, complete a residency and fellowship, and possess a medical license. Strong analytical, decision-making, and communication skills are essential.
Experience Required
Minimum 5 year(s)
Personal Care Assistant / Support Worker at UKCIL
Tenterden, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Practice Manager at Medivet
Crawley, England, United Kingdom - Full Time
Skills Needed
Coaching, People Management, Analytical Skills, Microsoft Products
Qualification
Graduate
Senior Care Assistant - Days at Country Court
Thirsk YO7 1TS, , United Kingdom - Full Time
Skills Needed
Leadership, Sca
Qualification
Graduate
Optometric Technician - Medical Assistant at National Vision
Portland, Oregon, United States - Full Time
Skills Needed
Customer Service, Organizational Skills, Interpersonal Skills, Attention To Detail, Multitasking, Time Management, Professional Attitude, Clear Instruction
Specialization
Previous retail or optical experience is preferred but not required. Strong customer service skills and the ability to learn optical knowledge are essential.
Sales Associate – Optical - Part Time at National Vision
Richmond, Texas, United States - Full Time
Skills Needed
Customer Service, Eyewear Selection, Inventory Management, Multi Tasking, Professionalism, Positive Attitude, Community Engagement, Personal Development
Specialization
1+ year of retail or customer service experience is preferred, along with a high school diploma or equivalent. Candidates should be skilled at multi-tasking and handling a fast-paced work environment.
Senior Associate, Project Management at ipgmediabrands
Los Angeles, California, United States - Full Time
Skills Needed
Project Management, Advertising, Marketing Communications, Digital Media, Creative Services, Interpersonal Skills, Communication Skills, Organization, Multi Tasking, Detail Oriented, Problem Solving, Teamwork, Client Management, Risk Mitigation, Creative Trafficking, Asset Management
Specialization
Candidates should have 3+ years of project management experience within media or creative services, preferably in an advertising agency environment. Familiarity with marketing communications strategy and the digital media trafficking process is essential.
Experience Required
Minimum 2 year(s)
Stockroom Clerk at XP POWER LIMITED
High Bridge, New Jersey, United States - Full Time
Skills Needed
Inventory Control, Customer Service, Organizational Skills, Attention To Detail, Microsoft Excel, Mrp Database, Basic Math Skills, Cycle Counting, Kitting, Material Movement Equipment, Ppe Compliance, Collaboration, Physical Inventory, Documentation, Time Management, English Proficiency
Specialization
Candidates should have at least 1 year of experience in a manufacturing warehouse environment, preferably with electronic components. Strong organizational skills, attention to detail, and basic proficiency in Microsoft Office applications are required.
Aquatic and Fitness Program Manager at Culpeper Wellness Foundation
Culpeper, Virginia, United States - Full Time
Skills Needed
Leadership, Wellness, Community Engagement, Program Development, Team Management, Aquatic Programs, Fitness Programs, Member Experience, Safety, Collaboration, Event Planning, Outreach, Innovation, Motivation, Support
Specialization
Candidates should have a passion for wellness and community, along with experience in developing people and programs. A collaborative mindset and a desire to make a difference in the community are essential.
Experience Required
Minimum 2 year(s)
Welder at Superior Environmental Solutions
Sidney, Ohio, United States - Full Time
Skills Needed
Mig Welding, Tig Welding, Fabrication, Blueprint Reading, Attention To Detail, Safety Awareness, Team Player, Organizational Skills, Forklift Operation, Warehouse Equipment Familiarity
Specialization
Candidates should have basic welding experience and the ability to read blueprints or instructions. Physical stamina is required, including the ability to lift 50 pounds and stand for extended periods.
Shelter Assistant/Key holder at Beagle Paws Rescue
St. John's, NL, Canada - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Front Desk Receptionist at Skin Republic Clinic
North York, ON, Canada - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Front Desk Receptionist at Healey Dental Care
Bolton, ON, Canada - Full Time
Skills Needed
Customer Service
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Social Emergency Response Coordinator at Fort William First Nation
FWFN, ON, Canada - Full Time
Skills Needed
Data Analysis, Public Health, Emergency Management, Interpersonal Skills, Mental Health, Writing
Specialization
Management
Qualification
Diploma
Customs Brokerage Agent - Nights at Expeditors
Feltham TW14 8QH, , United Kingdom - Full Time
Skills Needed
Interpersonal Skills, Powerpoint, Computer Skills, Excel
Qualification
Graduate
Warehouse Operative Morning Shift at Lidl
Doncaster DN11 0BF, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
HEDIS Specialist at Borinquen Health Care Center
Miami, Florida, United States -
Full Time

Start Date

Immediate

Expiry Date

07 Jan, 26

Salary

0.0

Posted On

09 Oct, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Bilingual, Computer Literacy, Interpersonal Skills, Customer Service, Quality Management, Data Entry, Patient Scheduling, Care Management, HEDIS, E.H.R., Documentation, Auditing, Communication, Problem Solving, Collaboration, Organization

Industry

Hospitals and Health Care

Description
  Borinquen Medical Centers is based in Miami, Florida and is seeking to hire a full-time HEDIS Specialist to join our team. This position is responsible for communicating provider participation information to stated internal and external customers through established processes to allow for appropriate patient scheduling and reimbursement for services rendered to meet and exceed HEDIS & P4P measures. Responsible for verifying and updating patient registration information, including insurance, demographic and patient data. Work collaboratively with all Departments to resolve registration issues. Support QI, Policy & Procedures and the Care team. This member of the Care team will be in charge to ensure patients comply with disease management goals (Pre and post call documentation), documenting in the E.H.R. to ensure continuity of care. The quality care person will provide reports on these activities on a daily, weekly and monthly basis to the QI Manager dependent on the E.H.R. data entered and HEDIS. This position is also responsible for tracking patient number of visits attending BMC and ensuring access to care by minimally following standard care guidelines. TASKS AND RESPONSIBILITIES 1. Coordinating and completing HEDIS quality specific projects ensuring consistency with BMC strategy, commitments, and goals. 2. Obtain patient roster from participating health insurance plans. 3. Call Patients that are Registered to set an appointment; Evaluate Quality Management Tab, Avhana & HEDIS. 4. Validate roster; Schedule appointments and ensure compliance with quality measures. 5. Track Quality measures and sell BHCC services if needed and determine reason for appointment. 6. Track Medicare population utilization. 7. Assist with Chronic Care management (CCM) Share medical Appointments; Complete Care Gaps; Assist with group visit. 8. Track hospitalization discharges and bring the patients for continuity of care. 9. Proactively seek resources to identify gaps on existing or quality projects as they arise. 10. Performs other analyses to assist with documentation. 11. Periodically audit records to confirm compliance with HEDIS and NCQA standards. 12. Ensures that all scheduled and tracking attended patients fulfill their care gaps and documents barriers of patients to do so. 13. Responsible for verifying and updating patient registration information, including insurance, demographic and patient data when scheduling appointment. 14. Maintains internal rosters to mitigate inadvertent leakage resulting from incorrect listings. 15. The ability to retrieve, communicate, present data and information both verbally and written. 16. Provides paneling information provided to Health Plans is accurate and timely. 17. Coordinates with Quality Manager on a weekly basis. 18. Chart Audit: Internal and External Chart Audits when requested. 19. Perform and track call campaigns for non- compliant patients to increase access to care. 20. Increase and track access to care for patients that have not attended in the last six months their primary care provider visit. 21. Provides patients with covered benefits and services that their primary health plan offers. REQUIREMENTS 1. Associates college degree 2. Well organized and Bilingual (Spanish and/or Creole). 3. Computer literacy with proficiency and expertise in Microsoft Office, including Outlook, Word, and Excel.  4. Ability to interact effectively with patients, administration, faculty, and staff. 5. Handle information with high level of confidentiality. 6. Considerable knowledge of standard concepts, practices, and procedures within a field. 7. Relies on limited experience and judgment to make decision, plan and accomplish goals. 8. Minimum 1 year of customer service. 9. Strong interpersonal skills. 10. Bachelor’s Degree. 11. Experience in clinical background setting (LPN, MA) with case management experience. BENEFITS 1. Medical/Dental/Vision/Short Term Disability 2. Company paid long term disability 3. Life insurance 4. 401K Plan 5. Standard Paid Holiday's 6. Vacation and Sick Time 7. Amazing Team & Atmosphere 
Responsibilities
The HEDIS Specialist is responsible for communicating provider participation information and ensuring patient compliance with disease management goals. This role involves verifying patient registration information and collaborating with various departments to resolve registration issues.
HEDIS Specialist at Borinquen Health Care Center
Miami, Florida, United States - Full Time
Skills Needed
Bilingual, Computer Literacy, Interpersonal Skills, Customer Service, Quality Management, Data Entry, Patient Scheduling, Care Management, Hedis, E.H.R., Documentation, Auditing, Communication, Problem Solving, Collaboration, Organization
Specialization
An associate degree is required, along with strong organizational skills and bilingual proficiency. A minimum of one year of customer service experience and a clinical background with case management experience are preferred.
Therapist / Wellness Specialist at Borinquen Health Care Center
Miami, Florida, United States - Full Time
Skills Needed
Effective Communication, Organization Skills, Flexibility, Problem Solving, Listening Skills, Written Communication, Knowledge Of Substance Use, Mental Health Practices, Crisis Counseling, Support Group Facilitation, Documentation Skills, Team Collaboration, Bilingual Communication, Client Outreach, Interpersonal Skills, Confidentiality
Specialization
Candidates must have Florida licensure or be working towards licensure in relevant fields, and fluency in English and either Spanish or Haitian-Creole is required. Strong interpersonal skills and the ability to handle confidential information are essential.
Referrals Specialist at Borinquen Health Care Center
Miami, Florida, United States - Full Time
Skills Needed
Interpersonal Skills, Bilingual, Confidentiality, Patient Counseling, Appointment Coordination, Referral Management, Insurance Verification, Communication, Problem Solving, Team Collaboration, Attention To Detail, Time Management, Data Entry, Follow Up, Customer Service, Professional Rapport
Specialization
A high school diploma or equivalent is required, along with 0-3 years of experience. Bilingual candidates are preferred, and strong interpersonal skills are essential.
Licensed Mental Health Counselor at Borinquen Health Care Center
Miami, Florida, United States - Full Time
Skills Needed
Crisis Counseling, Documentation, Client Treatment Planning, Mental Health Education, Interpersonal Skills, Confidentiality, Bilingual Communication, Team Collaboration
Specialization
Candidates must have a Master's Degree in a relevant field and Florida licensure as a mental health professional. Bilingual proficiency in Spanish or Haitian Creole is required, along with strong interpersonal skills.
Endocrinologist at Borinquen Health Care Center
Miami, Florida, United States - Full Time
Skills Needed
Endocrinology, Analytical Abilities, Decision Making, Interpersonal Skills, Communication Skills, Organizational Skills, Problem Solving Skills, Research Skills, Medical Equipment Proficiency, Multilingual Ability
Specialization
Candidates must have a medical degree in Endocrinology, complete a residency and fellowship, and possess a medical license. Strong analytical, decision-making, and communication skills are essential.
Experience Required
Minimum 5 year(s)
Personal Care Assistant / Support Worker at UKCIL
Tenterden, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Practice Manager at Medivet
Crawley, England, United Kingdom - Full Time
Skills Needed
Coaching, People Management, Analytical Skills, Microsoft Products
Qualification
Graduate
Senior Care Assistant - Days at Country Court
Thirsk YO7 1TS, , United Kingdom - Full Time
Skills Needed
Leadership, Sca
Qualification
Graduate
Optometric Technician - Medical Assistant at National Vision
Portland, Oregon, United States - Full Time
Skills Needed
Customer Service, Organizational Skills, Interpersonal Skills, Attention To Detail, Multitasking, Time Management, Professional Attitude, Clear Instruction
Specialization
Previous retail or optical experience is preferred but not required. Strong customer service skills and the ability to learn optical knowledge are essential.
Sales Associate – Optical - Part Time at National Vision
Richmond, Texas, United States - Full Time
Skills Needed
Customer Service, Eyewear Selection, Inventory Management, Multi Tasking, Professionalism, Positive Attitude, Community Engagement, Personal Development
Specialization
1+ year of retail or customer service experience is preferred, along with a high school diploma or equivalent. Candidates should be skilled at multi-tasking and handling a fast-paced work environment.
Senior Associate, Project Management at ipgmediabrands
Los Angeles, California, United States - Full Time
Skills Needed
Project Management, Advertising, Marketing Communications, Digital Media, Creative Services, Interpersonal Skills, Communication Skills, Organization, Multi Tasking, Detail Oriented, Problem Solving, Teamwork, Client Management, Risk Mitigation, Creative Trafficking, Asset Management
Specialization
Candidates should have 3+ years of project management experience within media or creative services, preferably in an advertising agency environment. Familiarity with marketing communications strategy and the digital media trafficking process is essential.
Experience Required
Minimum 2 year(s)
Stockroom Clerk at XP POWER LIMITED
High Bridge, New Jersey, United States - Full Time
Skills Needed
Inventory Control, Customer Service, Organizational Skills, Attention To Detail, Microsoft Excel, Mrp Database, Basic Math Skills, Cycle Counting, Kitting, Material Movement Equipment, Ppe Compliance, Collaboration, Physical Inventory, Documentation, Time Management, English Proficiency
Specialization
Candidates should have at least 1 year of experience in a manufacturing warehouse environment, preferably with electronic components. Strong organizational skills, attention to detail, and basic proficiency in Microsoft Office applications are required.
Aquatic and Fitness Program Manager at Culpeper Wellness Foundation
Culpeper, Virginia, United States - Full Time
Skills Needed
Leadership, Wellness, Community Engagement, Program Development, Team Management, Aquatic Programs, Fitness Programs, Member Experience, Safety, Collaboration, Event Planning, Outreach, Innovation, Motivation, Support
Specialization
Candidates should have a passion for wellness and community, along with experience in developing people and programs. A collaborative mindset and a desire to make a difference in the community are essential.
Experience Required
Minimum 2 year(s)
Welder at Superior Environmental Solutions
Sidney, Ohio, United States - Full Time
Skills Needed
Mig Welding, Tig Welding, Fabrication, Blueprint Reading, Attention To Detail, Safety Awareness, Team Player, Organizational Skills, Forklift Operation, Warehouse Equipment Familiarity
Specialization
Candidates should have basic welding experience and the ability to read blueprints or instructions. Physical stamina is required, including the ability to lift 50 pounds and stand for extended periods.
Shelter Assistant/Key holder at Beagle Paws Rescue
St. John's, NL, Canada - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Front Desk Receptionist at Skin Republic Clinic
North York, ON, Canada - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Front Desk Receptionist at Healey Dental Care
Bolton, ON, Canada - Full Time
Skills Needed
Customer Service
Qualification
Graduate
Experience Required
Minimum 2 year(s)
Social Emergency Response Coordinator at Fort William First Nation
FWFN, ON, Canada - Full Time
Skills Needed
Data Analysis, Public Health, Emergency Management, Interpersonal Skills, Mental Health, Writing
Specialization
Management
Qualification
Diploma
Customs Brokerage Agent - Nights at Expeditors
Feltham TW14 8QH, , United Kingdom - Full Time
Skills Needed
Interpersonal Skills, Powerpoint, Computer Skills, Excel
Qualification
Graduate
Warehouse Operative Morning Shift at Lidl
Doncaster DN11 0BF, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate