Clinical Quality Support Specialist - Admin - Spectrum Healthcare Resources
Phoenix, AZ
About the Job
Job Description
Spectrum Healthcare Resources has a potential need for Clinical Quality Support Specialist. These will be completely remote positions, Work hours 8:00 am – 5::00 pm in time zone.
Location: Phoneix, AZ: Virtual/Remote
Job Summary:We are looking for a Clinical Quality Support Specialist to provide non-clinical support to our Clinical Quality Management Department. This role involves obtaining and managing medical documents, ensuring accurate record retrieval, creating cases in the Medical Management System, and prioritizing tasks based on expedited requests. The ideal candidate will be detail-oriented, tech-savvy, and able to manage both incoming and outgoing correspondence efficiently. This position can be performed in a virtual environment.
Key Responsibilities:
- Maintain department files, ensuring compliance with confidentiality and security requirements.
- Obtain medical documents to support Clinical Quality processes (e.g., PQI/PSI, Studies, TQMC, and Committee work).
- Process and complete medical record requests promptly and accurately.
- Make outbound calls to providers/hospitals to confirm the process for medical record requests.
- Create cases in the Medical Management System, prioritize tasks, and manage timelines for record retrieval.
- Identify and resolve discrepancies in the medical management system to ensure quality compliance.
- Prepare and distribute materials for clinical quality meetings.
- Participate in department meetings and serve on quality improvement committees as needed.
- Perform additional duties as assigned, with a commitment to regular and reliable attendance.
Education & Experience:Required:
- High School Diploma or G.E.D.
- 2+ years of experience in a medical office, health insurance, or managed care organization.
- Proficiency in Microsoft Office Suite.
- Ability to work across multiple software programs.
Preferred:
- Associate Degree in Business or Administration.
- Experience in a medical records department.
- Knowledge of medical terminology, healthcare billing, or medical claims processing.
- Familiarity with Medicare, TRICARE, or other government healthcare programs.
Company Overview:
Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals.
Spectrum Healthcare Resources is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
EOE/AA/Disability/Vet