Program Support Specialist

Program Support Specialist

External Job Description and Responsibilities

Overview
The Support Specialist helps bridge clinicians and leadership with the Quality Payment Program’s (QPP) Merit-Based Incentive Payment System (MIPS) team. This position serves as a point of contact for the MIPS program and helps resolve program issues. This position also assists with performing research and analysis to better understand root causes of complex MIPS-related issues. Additionally, this position analyzes medical records and billing data audits to identify discrepancies and assist in problem resolution.

Requirements

Essential Duties and Responsibilities:

•    Point of contact for all customers with program and application questions and issues. Ensures prompt resolution of outstanding issues.
•    Resolves as many user-reported issues as expertise permits, using available tools and following procedures and policies for the handling of support cases.
•    Reviews medical record documentation from all clinical service lines.
•    Assists in data validation to comply with CMS requirements and helps confirm accuracy of data reported to CMS.
•    Helps troubleshoot complex issues and assists with resolution strategies.
•    Maintains in-depth knowledge of QPP and MIPS supported services.  
•    Helps prepare reports and presentations for clinicians and leadership regarding MIPS programs.
•    Maintains communication with customers throughout the resolution process.
•    Performs other related duties as assigned.

Qualifications / Experience
Bachelor’s degree in business, communication, healthcare operations or related field required.

Two years of related experience required, preferably in healthcare or hospital-based environment.
Understanding of Medicare and coding rules and regulations required. 

PHYSICAL / ENVIRONMENTAL DEMANDS:
Job performed in a well-lighted, modern office setting;
Occasional lifting/carrying (10 pounds or less);
Occasional standing/bending/stooping/reaching;
Moderate stress;
Prolonged sitting; and
Prolonged work at a computer/PC.
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.
 

Location

Remote

Working Level

Full-Time

Job Category

Admin-Clerical, Administrative, Healthcare

Yes

ID

55850BR