Practice Support Specialist, VBC

Position Summary:

This position, working collaboratively as part of a multi-disciplinary team, will focus on quality, cost, and utilization initiatives that improve patient outcomes, reduce healthcare costs, and enhance patient and provider experiences.

Responsibilities:

• Gathers information in support of provider, medical record documentation, upcoming appointment, and external sources for the non-provider portions of preventive wellness services for identified patient populations.
• Preparesfor patients’ visits by reviewing the electronic health record for specific data to improve the accuracy of the data set in the medical record.
• Conducts telephonic outreach to administer pre-visit, wellness visit and social determinants of health questionnaires and

• Gathers and documents demographic data from members prior to the visit, making appropriate revisions in the medical record as

• Properly engages with patient to confirm medical, family, and social history details, documenting changes, and updates when

• Completes medication review with the patient and completes sufficient documentation, providing alerts within the medical record

• Ensures documentation in the electronic medical record is timely, up to date, and accurate prior to the visit to aid in a smooth and

• Obtains health maintenance documents from external sources and completes proper workflows for record maintenance and care

• Assists with scheduling outpatient visits and follow-up appointments as needed.
• Proactively outreaches to patients with validated gaps in care and facilitates appropriate next steps to resolve outstanding care

• Educates member on gaps in care and assists with scheduling provider appointments to ensure care needs are properly managed.
• Provides patients and family members with education focused on prevention, wellness, and patient involvement when managing

• Works in conjunction with providers and risk adjustment coders to address gaps in coding and ensure diagnosis codes are properly

• Coordinates with care management, primary care teams, and community partners to connect the patient with resources to address social determinants of health and unmet needs for at-risk patients.

Qualifications:

• High school diploma or equivalent.
• Successful completion of Medical Assistant training from an approved technical school required.
• Graduate from an approved school of nursing (LPN) preferred.

Licensure/Certification

Maintains current certification as a Medical Assistant or current nursing license in the State of Florida renewed every two years.

Experience

One (1) year experience as a Medical Assistant, Paramedic, Licensed Practical Nurse, Allied Health Professional, Nursing Assistant or related health care role in value-based care or primary care physician offices required.