Care Coordinator Assistant

Maui Medical Group Wailuku, 2180 Main Street, Wailuku, Hawaii, United States of America Req #215
Friday, January 19, 2024

Health Care Excellence for Maui since 1961 - The leading provider of  quality health care for the residents and visitors of Maui as measured by :
–  patient satisfaction
–  patient outcomes
–  staff employment satisfaction

MAUI MEDICAL GROUP, INC.                                                 POSITION DESCRIPTION

 

Position Title

Department

Care Coordinator Assistant (CCA)

Provider Services Department

INSTRUCTIONS:

In Section A briefly describe the overall purpose of this position.  Describe the position so that someone who does not know the position will understand it.  In Section B describe the specific tasks or duties.  The percentage of time spent performing the major job responsibilities is used for job evaluation purposes only.  In Section C list the minimum qualifications, type of equipment used (including the frequency), characteristics, and environmental factors relating to this position.

SECTION A: OVERALL PURPOSE OF THE POSITION

The CCA works with the Quality Coordinator to improve patient quality scores. Duties include assessing and screening patients as well as providing patients with information about certain procedures mandated by quality guidelines. The CCA works with the patient’s PCP and Quality Coordinator to close gaps in the patient’s care.

 

SECTION B: MAJOR JOB RESPONSIBILITIES

*

PERCENTAGE

 

 

 

  1. Assists with the reporting of information to insurance plans. Works with providers and/or staff to make necessary status changes and to correct information.  Assists with the development and implementation of quality projects. Works with provider to improve all quality scores and monitor provider’s progress.

 

 

25

  1. Inputs and monitors various insurance Programs and Quality measures utilizing available resources such as; Cozeva, OPS, Excel, etc.  Extracts information from data resources to report findings for providers, staff and MMG leadership.

 

 

30

  1. Works with insurance plan representatives regarding the different programs available.  Able to discuss requirements verbally and in writing with insurance plans, providers and MMG leadership.

 

 

10

  1. Comfortable with training department members, physicians and their staff on ECW and any and all other quality/insurance programs.

 

 

10

  1. Participates with patient data collection, health outcomes reporting, clinical audits, and programmatic evaluation related initiatives.

 

 

10

  1. All other miscellaneous responsibilities and duties as assigned

 

 

10

  1. Demonstrates quality work, completes assignments on a timely basis, and makes decisions within limits of authority.   Takes initiative in problem solving, maintains confidentiality of patient and company information, and interacts with patients, co-workers, and management in a courteous and respectful manner.  Adheres to all company policies and procedures.

 

 

2.5

  1. Maintains attendance standards consistent with company policy.

 

 

2.5

 

TOTAL:

100%

             

 

 

SECTION C: OTHER INFORMATION

 

 

RESPONSIBLE TO:

Provider Services Manager

 

 

MINIMUM QUALIFICATIONS:

Education/Experience:

High school diploma or equivalent.  One year of physician billing, medical insurance administration, or related experience.

 

Skills/Knowledge:

Possesses thorough knowledge of spreadsheets, word processing (Microsoft Excel & Word) and\or any reporting tools or methods.

 

Desired/Preferred Qualifications:

 

Knowledgeable in medical insurance coding.

Equipment use:

Personal Computer, Typewriter, Telephone, 10-Key, And Fax Machine.

 

Characteristics:

Must be willing to effectively participate as a team member with the entire Maui Medical Group staff.  Must be committed to the protection of confidential information, records, and/or reports.  Must have the ability to communicate effectively in a professional and courteous manner.

 

Hourly Rate:

Starting @ $17.62; based on experience

 

Maui Medical Group is an equal employment opportunity/affirmative action employer. We actively seek diversity among our employees. We do not discriminate on the basis of age, race, color, religion, sex/gender (including gender identity/expression), ancestry/national origin, disability, marital status, arrest and court record, sexual orientation, pregnancy, veteran status, genetic information, domestic or sexual violence victim status, or other protected categories in accordance with state and federal laws. We further encourage individuals with disabilities, minorities, and veterans to apply.

Other details

  • Job Family Provider Services
  • Pay Type Hourly
This posting is inactive.
Location on Google Maps
  • Maui Medical Group Wailuku, 2180 Main Street, Wailuku, Hawaii, United States of America