Medicaid Claims Analyst (Remote)

Votion, headquartered in Tampa, FL, was founded in 2006 by physicians for physicians with a mission of Better Health. Under the parent company, Better Health Group Services, Votion is one of the leading national primary care platforms enabling payors and providers to transition to value-based care.

We help empower independent physicians by providing the tools, insights, and processes needed, so they can spend more time with patients while increasing earnings.

Driven by our mission to transform sick care into Better Health care, Votion delivers 5-Star outcomes to more than 140,000 lives across eight states for Medicare Advantage, Medicare ACOs, Medicaid, and Commercial Insurance.

Responsibilities

We will teach you how to drive documentation and coding improvement initiatives, develop recommendations for risk adjustment remediation plans and create tools and databases to capture relevant data for assigned markets; supporting specific goals and initiatives. You will work collaboratively with each regional assigned team and their leadership to achieve these goals. You will be supported by MD and RN Provider Educators.

Our Quality Analysts (QA) directly support the Quality Operations Team and otion goals. Some of our responsibilities include and are not limited to:

• Leverage quality tools to understand and communicate patient statuses to medical offices (in collaboration with Field Ops or independently as guided by Quality Team Manager)
• Working collaboratively with VIPcare (as applicable) and Votion Teams to support the success of Votion programs
• Successfully communicate the following to designated office champions (via recorded video conferences):
• Prepared to participate in creation of the pre-recorded [standardized] presentations delivered to medical office champions (OC) regarding Quality workflows, tools and programs
• Demonstrate successful navigation, maintenance and use of software applications relevant to team goals (ie: Google Suite, Microsoft and proprietary tools)
• Maintain and facilitate recurring QA/OC huddle with assigned medical offices based on group membership frequency expectation
• Patient statuses, verification that 5 Star checklist and progress note has been submitted and that all conditions have been satisfied per documentation guidelines
• Responsible for building and maintaining beneficial relationships with assigned market teams
• Work collaboratively with the internal Field Operations team to establish (remotely from the central office)
• Provide support to an assigned market of medical offices to assist and ensure all members get the best possible care

Education/Skill Requirements

• Ability to be adaptable and flexible to the ever-changing regulations of healthcare
• Medical Assistant, CMA, CNA or MEDIC/prior Combat Medic experience a plus.
• High School Diploma / GED (or higher) or equivalent work experience.
• Demonstrated ability to problem solve and think critically
• Experienced in Excel, Google Sheets
• Demonstrated excellent written and verbal skills
• Demonstrated STRONG organizational skills and attention to detail
• Ability to thrive in a fast-paced environment

Compensation & Benefits

• Base salary with bonus eligibility
• 401k, with employer match
• Paid holidays
• Medical, dental, vision, disability and life
• Paid time off

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