Top 288 Patient representative Jobs in Hollywood, Fl

Medicare Quality Accreditation Coordinator
Solis Health Plans —Doral, FL
- $25 - $30 an hour
- Weekends as needed
- Spanish
- Nursing
- Microsoft Excel
- AD&D insurance
- Health insurance
Quick Apply
6d
Customer Service & Sales Representative | $17/hr Base Pay + Weekly Performance Bonuses
Alorica —Hialeah, FL
- $17 an hour
- Full-time
- High school diploma or GED
- Computer skills
- In-person
- Free parking
- Paid training
Quick Apply
Pharmacy Medication Assistance Liaison, Specialty Pharmacy, Per Diem,Varies
Baptist Health South Florida —Miami Lakes, FL
- Per diem
- Customer service
- 5 years
- Research
- Wellness program
- Health insurance
Patient Access Representative
Broward Community —Hollywood, FL
- Full-time
- Background check
- Computer literacy
- Basic math
- Paid holidays
- Dental insurance
Quick Apply
2d
Medical Front Desk
ENT and Allergy Associates of Florida —Hollywood, FL
- $17 - $20 an hour
- Part-time
- Spanish
- Computer literacy
- Travel
Quick Apply
5d
Patient Engagement Representative
Pediatric Associates —Plantation, FL
- Full-time
- Mid-level
- Office
- High school diploma or GED
Bil Span Patient Access - Phone Scheduling Representative
Florida ENT Associates —Pembroke Pines, FL
- Full-time
- 1 year
- Communication skills
- Entry level
- Opportunities for advancement
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Patient Representative Call Center
Mount Sinai Medical Center - Florida —Miami, FL
- Full-time
- Hybrid work
- Spanish
- Hospital
- English
- Wellness program
- Disability insurance
Quick Apply
2d
Patient Registration Representative
University of Miami —Plantation, FL
- Full-time
- Computer literacy
- High school diploma or GED
- Math
- Health insurance
- Dental insurance
Patient Representative Coordinator
GUIDEWELL SANITAS I LLC —Hollywood, FL
- Weekends as needed
- Spanish
- Computer literacy
- English
Quick Apply
Patient Access Representative
AssociatesMD Medical Group —Davie, FL
- Full-time
- Urgent Care
- HIPAA
- Communication skills
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Contact Center Associate 1 - UHealth Connect (Remote)
University of Miami —Medley, FL
- Full-time
- Remote
- Spanish
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Patient Representative- BHMC- ER- FT- Nights- #32258
Broward Health —Fort Lauderdale, FL
- Full-time
- Military encouraged
- ER
- Entry level
12d
Front Desk Representative (Full Time)
Larkin Community Hospital —Hollywood, FL
- Full-time
- Spanish
- Computer literacy
- English
Patient Representative Part- Time
MD Now —Tamarac, FL
- Part-time
- Urgent Care
- Travel
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
8d
Patient Access Representative 1 (On-Site) Ft Lauderdale (H) - Ft Lauderdale
University of Miami —Fort Lauderdale, FL
- Full-time
- HIPAA
- High school diploma or GED
- In-person
- Health insurance
- Dental insurance
Patient Access Representative - Per diem- Flex Job ID 1573149
North Shore Medical Center —Miami, FL
- Per diem
- Hospital
- HIPAA
- Inpatient
- Health insurance
- Paid time off
Quick Apply
12d
Patient Representative Coordinator
Sanitas Medical Center —Plantation, FL
- Weekends as needed
- Spanish
- Computer literacy
- English
Quick Apply
Patient Services Representative
Oral and Maxillofacial Surgery Center —Aventura, FL
- Full-time
- Background check
- Spanish
- Dental office
Quick Apply
11d
Bilingual Admissions Representative - Afternoons
Surgery Center of Aventura —Aventura, FL
- Part-time
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply

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Medicare Quality Accreditation Coordinator

Solis Health Plans -
Doral, FL

Quick Apply

Job Details

Full-time
$25 - $30 an hour
6 days ago

Benefits

AD&D insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Life insurance
Referral program

Qualifications

Spanish
Microsoft Excel
Microsoft Office
High school diploma or GED
Health insurance knowledge
Attention to detail
Data-driven problem-solving
Associate's degree

Full Job Description

POSITION SUMMARY

The Quality and Accreditation Coordinator supports the organization's quality improvement, regulatory compliance, and NCQA accreditation activities. This role is responsible for assisting the Director of Quality Operations in coordinating quality programs, monitoring performance measures, supporting NCQA health plan accreditation surveys, maintaining required documentation, and collaborating with internal departments to ensure compliance with federal, state, and NCQA health plan accreditation standards. The coordinator assists in driving continuous quality improvement initiatives that improve member outcomes, operational performance, and health plan effectiveness.

Position is onsite Monday-Friday.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Review and analyze data across various areas, including claims, authorizations, grievances, appeals, case management, network adequacy, membership composition, and other related fields.
Assist with QOC investigation, QIC Prep, monitoring, and auditing.
Supports with preparation of evidence files and documentation for NCQA health plan accreditation surveys.
Collects reporting for measurement and benchmarking of performance measures in relation to best practices for NCQA, CMS, and internal business objectives.
Ensures data is accurate, reliable, and reported timely.
Collects performance indicator reports and benchmark narratives for review by Director of Quality Operations for performance improvement recommendations.
Assists with monitoring quality performance, outcomes, and/or metrics to make recommendations for targeted process improvement projects.
Prepares overviews and interpretation of reports; and following up on assigned action items for various projects, meetings, and committees.
Assists with accreditation and quality-related education to staff as needed.
Assists with problem analysis for strategic planning initiatives.
Solves data integrity issues as they arise, and monitor the addition of new data, analytics, and reporting systems.
Assist with interpretation and translation of data for senior management for use in meaningful decision making, and strategic planning purposes.
Assists with internal and external audits and preparation of audit responses.
Collects supporting documentation to support review of Quality-of-Care concern investigations.

QUALIFICATIONS AND EDUCATION

HS Diploma required or Associate's degree in Healthcare Administration, Nursing, or related field.
2+ years of experience in managed care, Medicare, Medicaid, or health plan setting.
Bilingual in English and Spanish.
Relevant experience may substitute for the educational requirement on a year-for-year basis.
Experience with NCQA health plan accreditation standards
Knowledge of federal regulations and industry standards.
Strong data analytical and problem-solving skills.
Excellent communication and documentation abilities.
Attention to detail with a focus on data integrity.
Experience using Microsoft applications.
Expert knowledge in Excel.

WORKING CONDITIONS

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.
Fast-paced office environment.
Highly regulated environment.
Interacts with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.

This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours. May be sitting for a prolonged period.

The work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed. May require some OT during varying seasons of the year.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or listen. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

PERFORMANCE MEASUREMENTS

Duties accomplished at the end of the day/month.
Attendance/punctuality.
Compliance with Company regulations.
Safety and Security.
Quality of work.

This Job Description may be modified at any time at the discretion of the employer as business operations may deem necessary. This does not constitute an employment agreement and may not include all duties.

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.

Pay: $25.00 - $30.00 per hour

Benefits:

401(k)
401(k) matching
AD&D insurance
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Referral program
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

patient representative jobs in hollywood, fl

Medicare Quality Accreditation Coordinator

Customer Service & Sales Representative | $17/hr Base Pay + Weekly Performance Bonuses

Pharmacy Medication Assistance Liaison, Specialty Pharmacy, Per Diem,Varies

Patient Access Representative

Medical Front Desk

Patient Engagement Representative

Bil Span Patient Access - Phone Scheduling Representative

Patient Representative Call Center

Patient Registration Representative

Patient Representative Coordinator

Patient Access Representative

Contact Center Associate 1 - UHealth Connect (Remote)

Patient Representative- BHMC- ER- FT- Nights- #32258

Front Desk Representative (Full Time)

Patient Representative Part- Time

Patient Access Representative 1 (On-Site) Ft Lauderdale (H) - Ft Lauderdale

Patient Access Representative - Per diem- Flex Job ID 1573149

Patient Representative Coordinator

Patient Services Representative

Bilingual Admissions Representative - Afternoons

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