HEDIS Specialist at Centrum Health

Doral, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Dec, 25

Salary

0.0

Posted On

23 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Access, Data Entry, Customer Service, Account Management, Healthcare Terminology, EHR Systems, Microsoft Office Suite, Problem-Solving, Organizational Skills, Time Management, Communication Skills, Attention to Detail, Flexibility, Adaptability, Confidentiality, Professionalism

Industry

Hospitals and Health Care

Description

WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. The HEDIS Specialist provides vital administrative and operational support across various departments within the healthcare organization. This role encompasses duties typically performed by Client Account Administrators, Patient Access Representatives, and other general support functions. The Specialist ensures efficient operations by handling a range of tasks including patient access, account management, data entry, internal operation support, and customer service. This role is essential for maintaining the smooth functioning of the healthcare organization and enhancing patient and client satisfaction. HEDIS experience is not required, we are willing to train the right person. The day to day of the HEDIS Specialist consists of administrative work regarding patients' records, insurance, and other duties as assigned. A candidate with experience in Medical Records, Front Desk, Customer Service and Office Assistant are encouraged to apply. Candidates with great work ethic, ability to work multiple screens, are tech savvy, are also encouraged to apply. DUTIES & RESPONSIBILITIES Facilitate patient access by managing appointment scheduling, patient check-in/check-out processes, and verifying patient information. Provide support for HEDIS (Healthcare Effectiveness Data and Information Set) data collection and reporting, ensuring accurate and timely data entry. Assist in managing client accounts, including updating account information, processing payments, and addressing client inquiries. Perform general administrative tasks such as answering phones, responding to emails, filing, and maintaining office supplies. Support patient care coordination by liaising between patients, healthcare providers, and insurance companies to resolve issues and answer questions. Conduct data entry and maintain accurate records in electronic health record (EHR) systems. Assist in the preparation and distribution of reports, correspondence, and other documents as needed. Ensure compliance with healthcare regulations and organizational policies. Provide excellent customer service by addressing patients and client needs promptly and courteously. Participate in team meetings and contribute to process improvement initiatives. EDUCATION AND PROFESSIONAL EXPERIENCE High school diploma or equivalent is required; associate’s degree or higher in healthcare administration or a related field is preferred. Two (2) or more years of experience in administrative healthcare role, Client Account Administrator, or Patient Access Representative preferred. Proficiency in using electronic health record (EHR) systems and other healthcare management software. Certification in medical coding, billing, or healthcare administration is a plus. PROFESSIONAL COMPETENCIES Strong organizational and time management skills, with the ability to prioritize tasks effectively. Excellent written and verbal communication skills, with a customer-focused approach. Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). Ability to work independently and as part of a team, demonstrating flexibility and adaptability. Attention to detail and accuracy in data entry and record-keeping. Understanding of healthcare terminology, billing practices, and insurance processes. Ability to handle sensitive information with confidentiality and professionalism. Strong problem-solving skills and a proactive approach to addressing issues. High level of integrity and ethical standards in dealing with patient and client information. Commitment to continuous learning and professional development. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Responsibilities

The HEDIS Specialist provides administrative and operational support across various departments within the healthcare organization. This includes managing patient access, supporting HEDIS data collection, and ensuring compliance with healthcare regulations.