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We Are Hiring!

Do you enjoy being part of a great team? The Medical Group of South Florida is a dynamic team of multi-specialty healthcare providers in a friendly working environment. We are dedicated to the highest quality patient care and looking for individuals that understand the value of compassionate care and excellent customer service.

 

We pride ourselves in being able to offer our patients a multitude of services in one beautiful location in Jupiter, Florida, and West Palm Beach, FL.

Open Positions

MyCare Medical in partnership with The Medical Group of South Florida is looking for dynamic Primary Care Providers with a patient-centric mindset to provide world-class patient care. If you are looking for your next opportunity to be your last opportunity, MyCare Medical is the place!!

Position Description:

  • Monday-Friday 8-5 no weekends
  • Manage a Patient Panel of 400-600
  • Detect and manage chronic diseases
  • Develop a patient strategy to reduce hospitalization and ER visits
  • Collaborate with Case Managers and Specialty Providers
  • Educate patients on the value of compliance

Benefits:

  • Generous Base Salary
  • Robust Bonus Plan
  • 15 days PTO/CME with CME allowance
  • Paid license and certifications
  • 6 paid Holidays
  • 401(k)
  • Dental insurance
  • Health insurance
  • Vision insurance

Medical Specialty:

  • Primary Care

Schedule:

  • 8-hour shift, Full-time 

Work Location:

  • One location

MyCare Medical in partnership with The Medical Group of South Florida is looking for a Certified Medical Coder for an Encounter Support Specialist position to join our team, who is passionate about growing as a professional and moving the healthcare industry toward value-based care. Required 2 years of HCC and HEDIS coding experience. The Encounter Submission Specialist will review the medical record and enter the ICD 10CM, CPT, and HEDIS codes into the billing software.

Requirements: 

  • 3 years of working as a certified medical coder (where coding was 90% or more of your job duties, and you were held to quality and productivity goals).
  • Coding certification through AHIMA / AAPC is required
  • HCC-HEDIS coding experience
  • Billing experience
  • Minimum of GED or High School Diploma
  • Excellent written verbal and communication skills
  • Technically savvy
  • High-speed internet with good service available at your home.

Job Duties:

  • Identify, collect, assess, monitor, and document claims and encounter coding information as it pertains to Clinical Condition Categories.
  • Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
  • Review medical record information to identify all appropriate coding based on CMS HCC categories.
  • Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
  • Will provide to providers; support, education, and training related to, quality of documentation, level of service, and diagnosis coding consistent with established coding guidelines and standards.
  • Monitor Coding changes to ensure that the most current information is available.
  • Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
  • Experience Excel and coding assisted programs

Experience:

  • Healthcare Occupations: 1 year (Preferred)
  • HCC Medical Coding: 2 years
  • HEDIS Coding

Benefits:

  • 401(k)
  • Dental insurance
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Referral program
  • Retirement plan
  • Vision insurance

Medical Specialty:

  • Primary Care

Schedule:

  • Full-time, 8-hour shift, Monday to Friday

Education:

  • High school or equivalent (Preferred)
  • Compensation will be based upon years of experience, education, and credentials
  • Drug test, background check, and credential verification are required for this position.

MyCare Medical in partnership with The Medical Group of South Florida is looking for experienced Medical Assistants to join our Primary Care and Speciality departments. 

Description 

Performs a variety of clinical and administrative duties within the medical practice such as: assisting physicians with patient care, providing information to patients so they may fully utilize and benefit from the clinical services, and handling clerical, environmental, and organizational tasks. This position requires onsite attendance. Essential Job Responsibilities:

  • Fulfills patient care responsibilities as assigned by physician or healthcare personnel – ARNP, PA - that may include checking schedules and organizing patient flow; accompanying patients to exam/procedure room; assisting patients as needed with walking transfers, dressing, collecting specimens, preparing for exam, etc.; collecting patient history; performing screenings per provider guidelines; assisting physicians/nurses with various procedures; charting; relaying instructions to patients/families; answering calls, and providing pertinent information.
  • Fulfills clerical responsibilities as assigned that may include sending/receiving patient medical records; obtaining lab/X-ray reports, hospital notes, referral information, etc.; completing forms/requisitions as needed; scheduling appointments; verifying insurance coverage and patient demographics; managing and updating charts to ensure that information is complete and filed appropriately.
  • Fulfills environmental responsibilities as assigned that may include setting up instruments and equipment according to department protocols; cleaning exam/procedure rooms, instruments, and equipment between patient visits to maintain infection control; cleaning sterilizer according to the scheduled maintenance program and keeping appropriate records; ordering, sorting, storing supplies; and restocking exam/procedure rooms.
  • Fulfills organizational responsibilities as assigned including respecting/promoting patient rights; sharing problems relating to patients and/or staff with immediate supervisor.
  • Fulfills clinical medical assisting responsibilities per Florida state law, which may include medical/surgical asepsis, sterilization, instrument wrapping and autoclaving; checking vital signs or mensuration; physical examination preparations; clinical pharmacology; drug administration through various routes including injections; prescription verifications with physician’s orders; minor surgery assists including surgical tray set-up pre/post-surgical care, applying dressings, and suture removal; biohazard waste disposal and monitoring; therapeutic modalities; instructing patients with assistive devices, body mechanics, and home care; laboratory procedures including Occupational Safety and Health Administration (OSHA) guidelines; quality control methods; CLIA-waived testing; capillary punctures and venipunctures; specimen handling such as urine, throat, vaginal, stool, and sputum; electrocardiography including mounting, emergency triage, and first aid. Medical assistants must adhere to the MA scope of practice in the laboratory.
  • Receives, screens, routes and respond to incoming telephone calls.
  • Takes accurate messages and ensures the timely delivery.
  • Greets guests and provides appropriate assistance and information.
  • Gather necessary demographic, insurance, and clinical information from patients and enter it into the appropriate database.
  • Seek appropriate resources to resolve issues about the type, date, or location of prescribed procedures.
  • Schedule patient procedures in a manner that most efficiently utilizes the patient's time and clinical resources.
  • Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required.
  • Determines and accepts required payments, including co-pays and deductibles.
  • Provides counseling to a patient, participant, or representative regarding pre-service requirements and instructions.
  • Assist with coordination of activities related to insurance pre-certification / authorization
  • Other duties as assigned.

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

License/Certification::

  • Certified Medical Assistant (Preferred)

Job Type: Full-time

Attractive Sign-On Bonus for Experienced Medical Assistants.

MyCare Medical in partnership with The Medical Group of South Florida is looking for front office coordinators to join our primary care and specialty departments. 

Description:

The Medical Front Office Coordinator provides assistance to patients, doctors, office employees, and other individuals. This employee helps the medical office run smoothly by scheduling appointments, greeting and checking in patients, answering phones, maintaining accounts and records, and other tasks as needed. In-office attendance is required for this position.

Responsibilities:

1. Answer and screens telephone calls in a courteous manner, and record messages for physicians and other personnel.

2. Schedule patient appointments and procedures according to established policies and procedures.

3. Obtain accurate information from patients and ensure all registration forms are complete.

4. Collect patient and insurance payments and reconcile charges on a daily basis.

5. Process insurance and disability claims in an accurate and timely manner.

6. Prepare insurance forms and associated correspondence.

7. Verify account balances and refunds for accuracy. Provide information to patients regarding unpaid balances.

8. Follow up with insurance companies to ensure that claims are paid timely and accurately.

9. File records in appropriate sections of patient charts and keeps patient charts in proper order.

10. Prepare patient charts in advance and file patient charts when complete.

11. Transcribe letters and create forms as needed.

12. Data entry of office visits, consults, and surgery including ICD-9 and CPT coding.

13. Copy patient information and forward it to requesting party after receiving appropriate consent to release medical records.

14. Maintain files and records in a confidential manner.

15. Maintain organization and efficiency of the front office, including office supply inventory.

16. Maintain patient confidentiality.

17. Perform other related duties as directed or assigned

Education and Work Experience:

  • High school diploma/GED required
  • Associate degree preferred
  • 1+ years experience in healthcare
  • Familiarity with Electronic Medical Records - preferred
  • Ability to handle a fast-paced environment and prioritize tasks based on importance
  • Excellent communication and problem-solving skills
  • Microsoft Office and desktop publishing software

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Job Type: Full-time

MyCare Medical in partnership with The Medical Group of South Florida is looking for medical referral coordinators to join our primary care and speciality teams. 

Description:

Prepares and processes all managed care referral paperwork, schedules patients for exams and procedures with specialists and providers outside of the primary care physician's office, and is interested in being part of a team that focuses on excellent service to others and handling clerical, environmental, and organizational tasks. This position requires onsite attendance.

Responsibilities:

· Process efficiently patient referrals and ensure that patients are scheduled for their recommended non-PCP appointments.

· Assigned to a certain amount of Medicare patients/ offices to monitor, process, and communicate with Providers/offices as liaison with Patients regarding referrals ordered.

· Maintain a list of all preferred specialists and ancillary providers for the assigned area.

· Obtain referral authorization if required by the health plan.

· Call referred Specialists and schedule appointments for patients.

· Communicate respectfully and effectively will with patients regarding appointments.

· Follow guidelines/workflows to complete & log all referrals processed through the system.

· Meet monthly - quarterly goals regarding utilization and process of ordered referrals.

· Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.

· Assist with coordination of activities related to insurance pre-certification / authorization

· Other duties as assigned.

Education and Work Experience:

  • High school diploma or GED equivalent
  • 2 years minimum as a tittle Referral Coordinator in a Primary Care setting

OR

  • High school diploma or GED equivalent
  • Two years or more experience in a medical office environment or within a healthcare position; i.e Front Office Receptionists, Medical Assistant and/or Referral Coordinator

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

Schedule:

  • 8-hour shift
  • Day shift
  • Monday to Friday

Experience:

  • Health Insurance Verification Occupations: 1 year (Preferred)
  • Medical billing: 1 year (Preferred)
  • referral: 1 year (Required)
  • eCW: 1 year (Required)

Work Location: One location

MyCare Medical in partnership with The Medical Group of South Florida is looking for medical scheduling coordinators to join our primary care and specialist teams. 

Responsibilities:

  • Bilingual Preferred
  • Welcomes patients and visitors on the telephone.
  • Answer patient questions and provide assistance and directions when necessary.
  • Optimizes patient satisfaction by being personable, empathetic, and efficient.
  • Schedules appointments.
  • Maintains patient accounts by obtaining, recording, and updating personal and financial information.
  • Protects patients' rights by maintaining the confidentiality of personal and financial information.
  • Maintains operations by following policies and procedures; reporting needed changes.
  • Contributes to team effort by accomplishing related results as needed.

Requirements:

  • 1+ years of experience working in a customer service industry
  • Friendly and compassionate disposition
  • Excellent organizational and time management skills
  • Strong verbal and written communication skills
  • Ability to work independently or as part of a team
  • Professional and empathetic interpersonal communication skills
  • Dedication to maintaining the confidentiality of all patient records
  • Experience with eClinicalWorks is a Plus.

Benefits:

  • 401(k)
  • Dental insurance
  • Disability insurance
  • Employee discount
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Job Type: Full-time

MyCare Medical in partnership with The Medical Group of South Florida is looking for a Medical Payment Poster. 

Description: 

The Payment Poster is responsible for all aspects of the collections and payment posting process. Responsibilities include documenting account activity, accurate posting adjustments and payments, reconciling the electronic funds transfer (EFTs), reporting collector payments, and managing the electronic remittance advice and insurance correspondences. Responsible for identifying and reporting payment/collection trends or issues.

Responsibilities: 

  • Accurately and efficiently post insurance payments, attorney payments, patient payments, and post-collection payments received from insurance carriers, patients, and collection agencies to the appropriate accounts in the practice management system.
  • Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment, adjustment, and denial codes.
  • Identify incomplete information necessary to post remittance and take the necessary steps to resolve questions, inconsistencies, or missing data.
  • Ensure electronic deposits match payment totals.
  • Ensure payment batches match bank deposits.
  • Accurately move balances to patient responsibility and ensure prompt patient billing
  • Identifying line item denials for medical necessity, non-covered services, and prior authorization issues. Communicate discrepancies to Referral & Authorization Manager.
  • Spot issues with front office collections, such as failing to collect deductibles or copayments, when processing insurance remittances. Communicate these to the Front Desk Manager.
  • While processing write-offs and adjustments, investigate unusual contractual adjustments. Communicate problematic trends to the Operations Manager.
  • Perform an audit at the close of each day to ensure all activities from the lockbox are balanced.
  • Electronic posting reconciliations and conducting reviews of my own entries to be proactive to any errors.
  • Ensure all pending and variance items are resolved within designated time frames.
  • Review collection accounts and send to in-house collections and then outside collections as per company policy.
  • Maintain the confidentiality of patient information in accordance with posting guidelines, company policy & procedure, and HIPAA regulations.
  • Additional duties as assigned.

Experience:

  • Medical Billers & Coders: 1 year (Preferred)
  • ICD-10: 1 year (Preferred)

 

Benefits:

  • 401(k)
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8-hour shift
  • Day shift
  • Monday to Friday

Work Location: One location

Job Type: Full-time

MyCare Medical in partnership with The Medical Group of South Florida is looking for an LCSW to join our primary care and specialist teams in Jupiter. 

Description: 

Our LCSWs are part of a team that provides compassionate care to the frailest elderly who have chronic and acute illnesses or injuries living in their homes. Our LCSW delivers primary, urgent, and acute care and counseling to a wide variety of patients with social and behavioral problems. The LCSW will be accountable for caring for patients, connecting patients and their families to support services, maintaining accurate and current patient records, and scheduling and administering initial, urgent, and follow-up appointments to patients as required. The successful candidate will work as a team with our physicians, advanced practice clinicians, and care team coordinator will assist in delivering quality care to every patient. We offer a positive, upbeat work environment where all medical personnel works together for the good of the patient.

Responsibilities: 

  • Performs psychosocial assessments and provides therapeutic services to patients and their families.
  • Work closely with Behavioral Health Medical Director to manage complex patient cases and transitions of care
  • A resource for the MyCare community in managing complex Behavioral Health cases.
  • Manages complex behavioral and psychosocial needs that result in improved clinical and financial outcomes
  • Maintains constant communication with patients when addressing their concerns and goals and helping them keep positive attitudes
  • Builds rapport with patients and their families and relays all concerns to the provider
  • Assists members in effectively utilizing available resources to meet their personal health goals and help them develop their own capabilities.
  • Monitors patient progress and adjusts patient treatment plan as needed
  • Coordinates with other healthcare providers, agencies, and community resources in order to create a thorough treatment plan addressing social, cultural, and financial needs
  • Collaborates with the interdisciplinary team and participates in regularly scheduled team meetings
  • Ensures compliance with regulatory agencies and MyCare clinical guidelines
  • Following a thorough assessment completed by an Advanced Practice Clinician (APC)
  • Partner with community team to refer patients to appropriate no or low-cost community services that support health and independence such as Meals On Wheels (MOW), local Area Agencies on Aging (AAA), Senior & Assistance Programs, and transportation resources.
  • Involves the patients’ families and primary caregiver(s) as needed to achieve the best care decisions and outcomes.
  • Effectively collaborates with all those involved in the member's care, including health services contractors (i.e., Home Health, Hospice, Community Agencies), to meet the patients’ care goals.
  • Consults with and advises the Clinical Team regarding the relationship of social, emotional, and cultural factors to health and medical care, and to the availability of social services in the community.
  • Complies with safety policies and procedures, identifying and immediately reporting any potential or actual unsafe acts or conditions to their supervisor/team. Takes necessary measures to ensure a safe environment for oneself, co-workers, contractors, participants, visitors, and others.
  • Consistently meets or exceeds MyCare targets for productivity, customer service, quality assessment, and performance targets.
  • Maintains current written progress notes and other documentation on the member's Medical Record including signed and dated documentation for all services performed the day the service is provided.
  • Participates in program and policy development of the MyCare Social Work program.
  • Other tasks needed to accomplish the team’s objectives/goals

Requirements:

  • Age-specific competency in working with the elderly and knowledge of community services for the elderly and their families.
  • Ability to make psychosocial assessments and develop and implement viable care plans
  • Must be familiar with EHR medical documentation
  • Strong computer skills, including Word, Excel, and Powerpoint
  • Strong verbal, written, presentation, and interpersonal communication skills
  • Bilingual in English/Spanish preferred.
  • Ability to work effectively in a team environment.
  • Knowledge of social work principles and practices, including case management and counseling techniques.
  • Ability to empathize with clients
  • Ability to provide after-hours services as needed
  • Ability to leverage internal and external resources as part of a patient’s treatment plan
  • Experience writing assessments and reports to monitor client progress
  • Valid driver’s license, have access to a car, and willing to drive to patient homes/patient locations as well as an active auto insurance policy

Experience:

  • Master’s Degree in Social Work
  • 5+ years of clinical social work experience with the geriatric population
  • Two years of social work experience, preferably in health care, and a minimum one-year experience working with a frail/elderly population.
  • Current unrestricted LCSW Licensure required

Travel requirements: Travel may be required up to 80% locally.

Work Conditions: Ability to lift up to 20lbs. Moving, lifting, or transferring patients may involve lifting of up to 50lbs as well as assisting with weights of more than 100lbs. Ability to stand for extended periods.

Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuity

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Supplemental Pay:

  • Signing bonus

Education:

  • Master's (Preferred)

License/Certification:

  • Clinical Social Worker (Required)

Job Type: Full-time

MyCare Medical in partnership with The Medical Group of South Florida is looking for a Certified Medical Coder for a Medicare Risk Adjustment/HCC coding position to join our team, who is passionate about growing as a professional and moving the healthcare industry toward value-based care.

Must have a minimum of at least 3 years of verifiable HCC coding experience. The position is remote but will require onsite physician office visits within the assigned area: West Palm Beach, Jupiter.

Requirements

  • 3 years of working as a certified medical coder (where coding was 90% or more of your job duties, and you were held to quality and productivity goals).
  • Coding certification through AHIMA / AAPC is required
  • HCC coding experience
  • Excel experience required
  • Minimum of GED or High School Diploma
  • Excellent written verbal and communication skills
  • Technically savvy
  • High-speed internet with good service available at your home.

Responsibilities:

  • Complete a sample audit of progress notes, populate information in an Excel spreadsheet and provide feedback to physicians regarding the documentation and coding guidelines.
  • Identify, collect, assess, monitor, and document encounter coding information as it pertains to Clinical Condition Categories.
  • Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
  • Review medical record information to identify all appropriate coding based on CMS HCC categories.
  • Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
  • Will provide to providers; support, education, and training related to, quality of documentation and diagnosis coding consistent with established coding guidelines and standards.
  • Monitor Coding changes to ensure that the most current information is available.
  • Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
  • Experience with PowerPoint, Excel, and coding assisted programs
    •  

 Experience:

    • HCC Medical Coding: 2-3 years (Required)

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8-hour shift
  • Day shift
  • Monday to Friday

Education:

  • High school or equivalent (Preferred)

Experience:

  • ICD-10: 1 year (Preferred)
  • MRA/HCC Coding: 2 years (Required)

License/Certification:

  • Coding certification through AHIMA / AAPC (Required)

Job Type:

  • Full-time (40 hours/week) Monday-Friday (Not a contract position)

Work Location:

  • Remote in West Palm Beach county based on home location
  • Required to go into the physician's office as needed

**Compensation will be based upon years of experience, education, and credentials

 

 

MyCare Medical in partnership with The Medical Group of South Florida is looking for a Membership Advancement Consultant to join our team in Jupiter and West Palm Beach. 

Description:

The Membership Advancement Consultant is responsible for leading growth initiatives that generate new patient growth opportunities for their assigned clinics year-round. The individual will nurture, build, and cultivate direct-to-seniors and business-to-business partnerships. The Membership Advancement Consultant (MAC) will be reporting directly to the Membership Advancement Team Lead (MATL).

Responsibilities:

· Meets with individual seniors and groups in their homes, workplaces, houses of worship, senior centers, or living communities to share the MyCare Medical value proposition.

· Plans, coordinates and executes local events within the community (e.g., health fairs, seminars, doc talks, information tables, etc.) to help reach our ideal patients (i.e, Medicare-eligible seniors, age 55 and older).

· Cultivates strong relationships with health plan agents, individual insurance agents, social workers, caseworkers, senior housing managers, senior centers and related community providers to make/keep MyCare Medical as their top provider choice for senior healthcare when referring patients to a primary care physician.

· Partners with community officials, businesses, and senior outreach programs to develop initiatives that will appropriately drive new patient growth.

· Manages vendors as related to event planning and negotiating contracts with venues.

· Ensures insurance agents and/or brokers are invited to community events to ensure timely patient assignment to MyCare Medical Centers.

· Leverages marketing and sales tools to identify solutions and sell to new customers. Maintains up-to-date client information in designated customer relationship management (CRM) tool (i.e., OutReach Report). Utilizes CRM tool to document interactions with clients and ensures effective management of leads.

· Creates penetration plans and initiatives in key target markets and channels. Provides a 6-month activity calendar.

· Recovers dormant customers via lead nurturing, sales tools, and marketing campaigns.

· Drives new member growth by appropriately educating potential patients on our value proposition and healthcare model.

· Partners with sales leadership to improve the effectiveness of engagements with insurance plan agents, individual sales agents, vendors, and community partners.

· Builds trusting relationships with brokers/insurance agents/caseworkers/third party vendors associated with seniors. Develops and executes specific broker and partner strategies and plans.

· Engages with new patients through and beyond their first appointment. Maintains relationships with enrolled patients to positively impact retention. Helps address and resolve customer complaints and issues.

· Performs other related duties as assigned.

COMPETENCIES:

Instills trust
Gaining the confidence and trust of others through honesty, integrity, and authenticity

· Follows through on commitments

· Is seen as direct and trustful

· Practices what he/she preaches

· Shows consistency between words and actions

Results-driven
Consistently achieving results, even under tough circumstances

· Has a strong bottom-line orientation

· Persists in accomplishing objectives despite obstacles and setbacks

· Has a track record of exceeding goals successfully

Action-oriented
Taking on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm

· Readily acts on challenges, without unnecessary planning.

· Identifies and seizes on new opportunities

· Displays a can-do attitude in good and tough times

· Steps up to handle tough issues

Effective communication
Developing and delivering communications that convey a clear understanding of the unique needs of different audiences

· Is effective in a variety of communication settings: one-on-one, small and large groups, or among diverse styles and position levels

· Attentively listens to others

· Adjusts to fit the audience and the message

· Encourages the open expression of diverse ideas and opinions

Resiliency
Rebounding from setbacks and adversity when facing difficult situations

· Is confident under pressure

· Handles and manages crises effectively

· Maintains a positive attitude despite adversity

· Bounces back from setbacks

· Grows from hardships and negative experiences

Networking
Effectively building formal and informal relationship networks inside and outside the organization

· Builds strong formal and informal networks.

· Maintains relationships across a variety of functions and locations

· Draws upon multiple relationships to exchange ideas, resources, and know-how

Customer focus
Building strong customer-centric relationships and delivering customer-centric solutions

· Gains insight into customer needs

· Identifies opportunities that benefit the customer

· Builds and delivers solutions that meet customer expectations

· Establishes and maintains effective customer relationships

Persuasiveness
Using compelling arguments to gain the support and commitment of others

· Positions views and arguments appropriately to win support

· Convinces others to take action

· Negotiates skillfully in tough situations

· Wins concessions without damaging relationships

· Responds effectively to the reactions and positions of others

Knowledge and Skills

· This position requires the use and exercise of independent judgment.

· Multi-tasking and problem-solving skills and capability to work independently and manage multiple priorities in a fast-paced environment.

· High business acumen and acuity.

· Positive attitude and the ability to attract patients with a warm, gentle disposition (ability to gain new members without being perceived as pushy).

· Excellent written and verbal communication skills (e.g., pitch letters, outbound calls, effective one-on-one meetings, group presentations, etc.).

· Demonstrated knowledge of, and expertise in, negotiation, probing skills, closing skills, and handling objections.

· Excellent organization skills to be able to meet deadlines.

· Knowledge of Microsoft Office applications: Word, Excel, PowerPoint & Outlook.

· Spoken and written fluency in English.

· Bilingual is a plus.

· Ability and willingness to travel locally, regionally, and nationwide up to 75%; work is primarily conducted off MyCare Medical premises.

Qualification Requirements:

· BS Degree and above preferred

  • 2 years experience in marketing or sales.
  • Knowledge of Medicare Advantage preferred

Experience:

  • Sales Experience: 1 year (Preferred)
  • Medicare Advantage: 1 year (Preferred)

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8-hour shift
  • Day shift
  • Monday to Friday

Supplemental Pay:

  • Bonus pay

Job Type:

  • Full-time

 

  •  

MyCare Medical in partnership with The Medical Group of South Florida is looking for a HEDIS Coordinator to join our team in Jupiter and West Palm Beach. 

Description:

The Hedis Coordinator is the primary person to analyze patient chart data to confirm HEDIS measures are being met and addressed appropriately by the Physicians. This person will work closely and communicate with Insurance groups, Physicians, and Medical Staff. The main objective is to make sure that HEDIS GAPS are being addressed and communicated with the Physicians, Medical Staff and Senior Management on the status and issues met in their audits.

Responsibilities:

  • Creating or modifying HEDIS ENCOUNTERS in patients’ charts to communicate with Physicians and Medical Staff.
  • Assists with all quality measures initiatives, working with clinical offices in capturing the data to support the variables.
  • Meeting with providers and clinical staff monthly to review scores and gap list
  • Reviewing or creating various reports using Microsoft Excel. Ability to manipulate spreadsheets using features: filtering, sorting, grouping,
  • Assisting with outside chart audits and submitting or required information as needed.
  • Submitting/reporting patient information to various health plans via their portals as directed.
  • Assists with all quality measures initiatives, working with clinical offices in capturing the data to support the variables.
  • Works all gap reports for 5 STAR and ACO quality measures projects as they become relevant and assists with all quality initiatives as assigned.
  • Assists with patient events as needed.
  • Accurately enters all identified and validated measures into the practice’s software program(s).
  • Timely and accurately reports issues to management, as necessary.
  • Meets daily and overall productivity and compliance expectations.
  • Other duties as assigned.

Skills & Abilities:

  • Critical Thinking / Problem solving
  • Ability to use Microsoft Office, with a focus on Excel (or Libre Calc)
  • Ability to collect and accurately relay pertinent information
  • Ability to navigate computers, internet programs, and EMR systems
  • Accurate, efficient data entry
  • Ability to read/understand medical terminology
  • Ability to read, understand, and analyze medical records
  • Ability to read and understand technical specifications on all quality initiatives
  • Ability to multitask and prioritize assignments based on urgency
  • Ability to work independently with little to no need for assistance

Requirements:

  • High School Diploma or GED is required
  • One year of experience in medical office required
  • Familiars with Medicare Advantage plans and HMO’s preferred

Benefits:

  • 401(k)
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8-hour shift
  • Day shift
  • Monday to Friday

Experience:

  • HEDIS: 1 year (Preferred)
  • Health Informatics Occupations: 1 year (Preferred)

License/Certification:

  • Epic Certification (Preferred)

A drug test and background check are required for this position.

MyCare Medical in partnership with The Medical Group of South Florida is looking for a Hedis Supervisor to join our team in Jupiter and West Palm Beach. 

Description:

The Hedis supervisor is responsible for coordinating and implementing the STAR’s data collection and works in collaboration with the Director of Quality to develop strategies for achieving a 5 STAR rating. This role assists with data analysis and report preparation for all required data submissions. The Hedis supervisor provides direction and support to the Hedis coordinator in their market in the implementation of strategies for closing care gaps. This role works closely and collaboratively with various functional areas of the delivery system to achieve the goals and objectives of the Hedis/Quality programs.

Responsibilities:

  • Provides leadership and support in establishing the Quality Performance Initiatives at the market level
  • Provides expertise to the training department on STAR/HEDIS measures and on the tools that support the collection of STAR/HEDIS data
  • Participate in NCQA HEDIS or Health Plan audits
  • Work with external vendors on data transmission issues
  • Analyze data for possible data integrity and data deficits
  • Monitors individual and team results to ensure work is completed in a timely manner, in accordance with department standards and procedures, and is in compliance with medical policy and medical necessity guidelines.
  • Assigns and prioritizes work, sets goals, and coordinates daily activities of the team
  • Attend and participate in all payor quality meetings.
  • Performs all other related duties as assigned

Requirements:

  • 5+ years of healthcare experience including experience in a managed care setting
  • HEDIS/STAR experience
  • Basic understanding of quality improvement standards such as NCQA, HEDIS, CAHPS, HOS, and CMS
  • High School Diploma or GED is required
  • Critical Thinking / Problem solving
  • Demonstrated competency in setting priorities for a team and overseeing work outputs and timelines.
  • Ability to communicate effectively, verbally and in writing.
  • Excellent training and presentation skills with solid communication capabilities and practices, both oral and written
  • Ability to be flexible in a continuously changing environment
  • Ability to use Microsoft Office, with a focus on Excel (or Libre Calc)
  • Ability to collect and accurately relay pertinent information
  • Ability to navigate computers, internet programs, and EMR systems
  • Accurate, efficient data entry
  • Ability to read/understand medical terminology
  • Ability to read, understand, and analyze medical records
  • Ability to read and understand technical specifications on all quality initiatives
  • Ability to multitask and prioritize assignments based on urgency
  • Ability to work independently with little to no need for assistance

Duties 

  • Assists with all quality measures initiatives, working with clinical offices in capturing the data to support the variables.
  • Works all gap reports for 5 STAR and ACO quality measures projects as they become relevant and assists with all quality initiatives as assigned.
  • Assists with patient events as needed.
  • Accurately enters all identified and validated measures into the practice’s software program(s).
  • Timely and accurately reports issues to management, as necessary.
  • Meets daily and overall productivity and compliance expectations.
  • Other duties as assigned.

Benefits

  • 401(k)
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8-hour shift
  • Day shift
  • Monday to Friday

Experience

  • HEDIS: 1 year (Preferred)
  • Health Informatics Occupations: 1 year (Preferred)
  • healthcare experience to include managed care setting: 5 years (Required)
  • HEDIS/STAR: 1 year (Required)

License

  • Epic Certification (Preferred)

A drug test and background check are required for this position.

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