Job Overview

Our client is looking for a QI-Medical Receptionists to support their quality improvement initiatives and front-office operations in a remote capacity. This hybrid role blends administrative precision with compassionate member engagement, ensuring seamless coordination between patients, providers, and internal teams. The ideal candidate is detail-oriented, tech-savvy, and committed to maintaining high standards of compliance, privacy, and productivity while working remotely.

Schedule

• Monday - Friday, Specific hours are to be determined within the client's business hours, Pacific time (40 work hours per week)

Independent Contractor Perks

• Permanent work from home
• Immediate hiring
• Health Insurance Coverage for eligible locations

Responsibilities

Receptionist Duties

• Answer incoming calls, route messages, and manage ULTATEL TEXT Message systems professionally
• Schedule appointments, transportation, and follow-up on GA food requested
• Provide courteous, bilingual communication to members and providers
• Maintain accurate documentation in SwyftOps systems and ensure timely data entry

Quality Improvement Support

• Track and report care gaps, HEDIS measures, and Chart Audits
• Support QI initiatives by assisting with chart audits, care plan reviews, and compliance checklists
• Communicate with providers and case managers to ensure documentation accuracy and care gaps are being addressed
• Assist with referrals, authorizations, and coordination of specialty services

Program Knowledge

• Understand the company's Enhanced Care Management (ECM) model, including eligibility, referral workflows, and service offerings
• Support member onboarding by explaining ECM benefits, care coordination goals, and available resources in both English and Spanish
• Assist with Outreach & Referral (OR) processes, ensuring timely follow-up and accurate documentation of member engagement
• Maintain working knowledge of Medi-Cal guidelines, CalAIM initiatives, and the company's interdisciplinary care approach
• Participate in ongoing training to stay current on program updates, compliance standards, and QI metrics

Remote Work Compliance

• Maintain a secure, quiet, and ergonomically appropriate home office environment
• Log in daily via Teams by 8:15 AM (PST) and attend scheduled huddles or meetings
• Submit daily productivity reports and categorized schedules to supervisor by end of day
• Ensure HIPAA-compliant handling of PHI—no public or shared spaces permitted
• Follow the company's password and data security protocols, including locked storage and regular password updates
• Limit personal tasks to designated breaks and lunch periods

Requirements

• Minimum 2 years of experience in medical reception, care coordination, or QI support
• Fluent in English and Spanish or English and Mandarin (written and verbal)
• Basic understanding of medical terminology and healthcare services
• Proficient in EMR systems, Microsoft Teams, Excel, and remote communication tools
• Strong understanding of HIPAA, HEDIS, and MEDI-CAL documentation standards
• Exceptional organizational skills and attention to detail
• Ability to work independently while maintaining accountability and productivity

Qualifications

• High school diploma required; Associate degree in Business Administration, Healthcare, or related field preferred

Technical & Environmental Requirements

• Reliable high-speed internet connection
• Secure workstation with proper lighting, ventilation, and minimal noise
• Access to locked file storage and password-protected devices
• Willingness to comply with the company's IT and security protocols

Side Note

This is a permanent work-from-home role under an Independent Contractor arrangement. Candidates must have their own computer and reliable internet connection, and are responsible for their own taxes and benefits. Professional hourly fees are established based on your performance in the application process.

Reminder

Please follow the provided link to BruntWork’s Career Site to finish your initial application requirements, including the assessment questions, technical check, and voice recording. Submissions with all requirements fulfilled will receive priority review.