Welcome to Arkos Health! We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. We are currently in Arizona, Nevada, North Dakota, Illinois and Vermont! Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve.
How You'll Make a Difference:
The Quality Scheduler will conduct outreach to our specific member population to encourage healthy behaviors through innovative telephonic communications. Performance driven on all provided targeted lists received by our Health Care partners. The Quality Care Coordinator will also enter data into our data base for all CPT II codes being performed. The Quality Care Coordinator will schedule and follow up on clinical care needs for patients as it relates to Healthcare Effectiveness Data and Information Set (HEDIS) and other quality STAR initiatives. The position contributes to the organization's drive to improve the overall experience of patient care, including the quality of health, and work to reduce the cost of care across the population served.
Why Arkos?
- Great Benefits!
- Employer-paid Medical, Dental and vision premiums at no cost to you
- Employer-paid Short-Term Disability premiums at no cost to you
- Employer-paid Life Insurance premiums at no cost to you
- Employer matching 401(k)
- 15 days annual combined sick/vacation and 10 days of holiday during your first year
- Your Birthday off!
- We have great people and a growing culture! From coffee bars to Ice Cream Day, we recognize our team!
- We are ranked as the 113th fastest-growing private company in the United States and 11th within the healthcare services sector on the 2024 Inc. 5000 list! Join us today!
Essential Duties and Responsibilities:
- This position is responsible for reviewing data collected to confirm gaps in care are captured
- Coordinate and order preventative and diagnostic tests around gaps in care on behalf of the primary care physician utilizing standing orders/protocols required by the health plan
- Conduct data entry and maintain appropriate documentation and tracking for quality initiatives
- Conducts outreach to specified patients on priority lists for any outstanding care gaps and schedule accordingly
- Educating patients on procedures that are being scheduled/performed and the reason for performing them
Qualifications and Skills:
- High school diploma or GED equivalent required
- 2+ years' experience in a healthcare environment
- Recent and related experience working with HEDIS STARS Program
- Experience with Microsoft Word, Excel, and Power Point
- Experience in Electronic Health Records
- Experience with verifying Eligibility and navigating through Insurance Portals
- Experience with CPT II codes
- Basic knowledge HCC’s and Medical Diagnosis
- Medical Terminology
What's Next?
Apply for the Job! Our recruitment team will review your application and reach out to schedule a quick call!
Please feel free to forward this opportunity to someone you believe might be a good fit! If hired, you could be eligible for a referral bonus!
Must complete our Culture Index Survey. Take the assessment at https://go.cultureindex.com/s/bg3VS0H2kF.
This is not a pass/fail test and does not measure intelligence.
Arkos Health EEO Statement:
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Arkos Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.
Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at Careers - Arkos Health
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What We Do
Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations within 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, Arkos Health delivers advanced community-based health services that allow our clients to improve quality care and reduce unnecessary costs for their members.
