Surpass Behavioral Health · 5 hours ago
Quality Operations Coordinator
Nash, TX, USA
Full-time
Onsite
Mid Level
$44K/yr - $50K/yr
3+ years expSurpass Behavioral Health is a rapidly growing national Specialty Pharmacy focused on providing services to patients with chronic and rare illnesses. The Quality Operations Coordinator will provide administrative and operational support to the Quality Control Director and the Quality team, ensuring compliance with internal procedures and regulatory standards.
Health CareMental HealthTherapeutics
Responsibilities
Reviews insurance operational areas:
Insurance Verification and entry into Care Tend
Prior Authorization completion in CT
Preparation for Claim Submission
Intake Workflow
Copay Assistance / billing
Insurance software
Answers and transfers phone calls, screening when necessary
Retrieves information as requested from records, email, minutes, and other related documents; prepares written summaries of data when needed
Coordinates and schedules travel, meetings, and appointments for managers or supervisors
Prepares agendas and schedules for meetings
Helps and maintains updates on special projects assigned to management
Assist with the coordination and scheduling of quality audits
Help Maintain organized and up-to-date training records, SOPs, and controlled documents in accordance with company policies
Assist with compiling, proofreading, and distributing quality reports and metrics
Monitor task completion and follow-ups across departments for quality-related action items
Ensure timely communication between Quality, Operations, and other departments to maintain workflow alignment
Participate in internal audits and document preparation as requested
Performs a variety of office functions, such as filing, typing, copying, data entry, research, etc., to support various Billing files in proper order billing and financial operations
Nursing Software/Nursing Note Submission & Nurse tracking as needed
Adheres to confidentiality, safety, compliance, and legal requirements
Ongoing Communication with Referral Management, Billing, Insurance Verification, and Data Entry
Assists by understanding all payers, reimbursement, and formularies
Comply with company deadlines and inventory to meet both the company and its compliance standards
Consistently represents the company in a professional manner
Maintains effective working relationship and cooperates with all personnel in the Company
Participate in administrative staff meetings and attend other meetings and seminars
Performs other related duties as assigned or requested
Qualification
Required
A High School Diploma or equivalent GED is required, at minimum
3 - 5 years medical experience
Ability to work independently and within a multidisciplinary team
Minimum two years in healthcare environment/industry
Provides the highest level of professionalism, responsiveness, and communication to build and maintain the maximum customer base possible
Possesses the ability to multi-task and frequently change direction as required
Preferred
College or technical college preferred
Company
Surpass Behavioral Health
Surpass Behavioral Health offers ABA therapy for children and teens with autism, focusing on impactful, tailored programs.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Daniel Byrdsong
Founder and CEO
Company data provided by crunchbase