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We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.
We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
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 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.
WORK ENVIRONMENT
The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer.
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.
Top Skills
What We Do
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, NeueHealth helps to make healthcare accessible and affordable for all populations across the ACA Marketplace, Medicare, and Medicaid.
NeueHealth currently serves more than 500,000 health consumers and partners with more than 3,000 affiliated providers across the country. NeueHealth consists of two segments, NeueCare and NeueSolutions, each focused on creating a more seamless, coordinated care experience that maximizes value for health consumers, providers, and payors.
NeueCare delivers value-driven healthcare to health consumers across the ACA Marketplace, Medicare, and Medicaid through owned clinics and partnerships with affiliated providers across the country. NeueCare takes a consumer-centric approach, developing a true relationship with patients early in their healthcare journey to deliver a high-quality, personalized care experience.
NeueSolutions enables independent providers and medical groups to succeed in performance-based arrangements through deep financial alignment, customized population health tools, and strong partnerships with leading health plans and government programs, including participation in the Centers for Medicare and Medicaid Innovation’s (“CMMI”) ACO Realizing Equity, Access, and Community Health (REACH) program.
