Position Title: Quality Improvement Specialist I
Work Location: Remote – Texas only
Assignment Duration: 3 months (Possibility of extension)
Work Schedule: 8-5, no OT
Work Arrangement: Fully Remote (Texas residents only)

Key Responsibilities:
• Primarily on the phone/emailing with medical offices/facilities confirming members and requesting medical records
• Documenting work in web portal and internal applications
• Performing claims research internally and web/google research to find most up-to-date provider information
• Other projects as assigned including work in Excel, OneDrive & Teams

Qualification & Experience:
• Required: High school diploma or GED
• Customer Service Experience – on the phone or in person – must be comfortable calling provider offices (ranked #1 must-have)
• Good computer skills with more than Beginner Excel
• Ability to work independently with minimal supervision/structure
• Medical Office experience or Medical Records Clerk background strongly preferred
• Disqualifier: Coder or Abstractor experience (HEDIS or otherwise)

Education/Certification	Required: high school diploma or GED			Preferred:
Licensure	Required:			Preferred:
Years of experience required:   Disqualifiers: Coder or Abstractor – HEDIS or otherwise. This is NOT a coding position. This is a phone/email outreach & web research position.   Additional qualities to look for: Medical Office experience, Medical Records Clerk
Top 3 must-have hard skills stack-ranked by importance		1	Customer Service Experience – on the phone or in person – must be comfortable calling provider offices
		2	Good computer skills with more than Beginner Excel
		3	Ability to work independently with minimal supervision/structure

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 27.00/hr.