What are the responsibilities and job description for the Quality and Compliance Specialist position at Upstate Public Health?
- Syracuse
- Administrative, Secretarial & Clerical
- Full-time
- Opening on: Jun 18 2025
- Nappi Family Medicine
- State of New York
- TH Staff Assistant 2, NSSL1
- 84693
- UUP (State University Professional Services Unit)
Job Summary
The Quality and Compliance Specialist will perform standardized patient check-in and check-out procedures including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generates routine forms and other documentation. Will also work with/advise patients on insurance carrier requirements including services not covered and obtains documentation, collects patient co-pays, etc., and tracks/accounts for monies collected on a daily basis. Responsible for statistical reporting to ensure clinic compliance with HEDIS measures and Quality Care Incentive Programs available from multiple insurance providers. Overseeing and ensuring PCMH accreditation and requirements, and provide training and oversight to ensure that standards are being met.
Minimum Qualifications
Associate's degree and two (2) years of related patient financial/insurances services experience preferably in a hospital setting; or 4 years of related patient financial/insurances experience; or equivalent combination of education and experience required.
Preferred Qualifications
Bachelor's preferred.
Knowledge of PCMH accreditation and standards strongly preferred.
Work Days
Monday - Friday, Days, Hours dependent on operational need
Message To Applicants
Recruitment Office: Human Resources
We are an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran status or disability or other protected classes under State and Federal law.
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