Healthcare Quality & Compliance Agent- Bilingual (English/ Spanish)- West Orange, NJ

Job Description

Job Description

Job Summary:

The Audit Agent is integral to maintaining the operational integrity and compliance standards of our medical practice. By managing audit lists and scheduling necessary appointments, this role ensures that all practices and procedures adhere to the highest levels of quality control and regulatory compliance. The Audit Agent supports our mission of delivering superior patient care through meticulous oversight and detailed analysis of our operational processes. This position requires a detail-oriented, organized, and proactive individual who will contribute significantly to our ongoing efforts to enhance patient outcomes and satisfaction.

Key Responsibilities

• Audit Management: Handle audit lists as assigned, ensuring that each task is accurately processed and documented in compliance with internal standards and regulatory requirements.
• Appointment Scheduling: Efficiently book and manage appointments for audits, coordinating with relevant departments and office management to ensure timely and effective execution.
• Data Analysis: Assist in analyzing audit data to identify trends, areas for improvement, and compliance with established protocols.
• Reporting: Prepare detailed reports on audit findings, present data insights, and make recommendations for improvements to the Corporate Compliance Officer.
• Collaboration: Work closely with other departments to foster a culture of quality and compliance, providing support and information as needed.
• Training and Development: Participate in ongoing training sessions to enhance your knowledge and skills related to audit processes and compliance standards.

Qualifications:

• Education: High school diploma or equivalent required.
• Experience: Previous experience in quality control, data analysis, or a related field preferred. Healthcare experience is a must.

Skills:

• Proficiency in Microsoft Excel and other data management tools.
• Strong organizational and time management skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Exceptional attention to detail and precision in task execution.
• Expertise in navigating and managing Electronic Medical Records (EMR) systems.
• Strict adherence to confidentiality protocols for sensitive patient information.
• Willingness to accommodate a flexible schedule, including availability on Saturdays as required.
• Languages: Bilingual abilities are highly desirable to accommodate our diverse patient and staff population.

Performance Expectations

• Timely and Precise Scheduling: Ensure all appointments are scheduled with accuracy and efficiency, minimizing wait times and optimizing clinic workflows.
• Comprehensive Documentation: Meticulously record all details of patient interactions and outcomes, maintaining complete and precise documentation in line with regulatory and clinic standards in the Electronic Health Record (EHR).
• Proactive Communication: Foster clear and effective communication with both patients and healthcare providers, ensuring information is conveyed promptly and accurately to facilitate exceptional care delivery.
• Strict Compliance: Consistently adhere to all company policies and procedures, upholding the practice's professionalism standards and regulatory compliance.

Compensation and Benefits

• Competitive Salary: We offer a salary that is commensurate with experience and reflective of industry standards, ensuring fair compensation for each candidate's skills and dedication.
• Comprehensive Health Coverage: Access to premium health, dental, and vision insurance plans.
• Generous Time Off: Paid time off, including vacation days, sick leave, and recognized holidays.
• Retirement Savings Plan: Robust retirement savings plan, which includes employer contributions to help you build financial security.
• Continual Professional Growth: Professional development opportunities designed to enhance each candidate's skills and advance their career within our organization.

Work Environment

• Collaborative Team Culture: Thrive in a supportive and cooperative team environment that values each member's contributions and fosters a culture of mutual respect and shared success.
• State-of-the-Art Facilities: Work in modern office settings equipped with cutting-edge healthcare technology, providing a dynamic and efficient workplace designed to enhance patient care and staff experience.

Physical Requirements

• Ability to sit for prolonged periods.
• Comfortable working in a typical medical office environment.

Commitment to Diversity

Nirvana Healthcare Management Services proudly upholds a commitment to diversity and inclusion. As an equal opportunity employer, we ensure that all employment practices are free from discrimination and harassment. We do not discriminate based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other characteristic protected by law. We strive to create an inclusive environment that values and respects the diversity of our staff and the community we serve.