Joselin Betancourt

Quality Improvement Manager @Claremedica

US

Direct supervision of employees that may include disciplinary authority• Provides leadership, support and training updates for staff that perform medical record review and data entry. Processes submitted data and information by providers for the capture of quality measure performance.• Assists with coding strategy and planning.• Collaborates with provider clinic staff to execute the proper submission of medical records and data based on current HEDIS technical specifications.• Collaborates with the Corporate Quality Director in the development of training resources on STAR/HEDIS/Quality measures, to support proper collection of STAR/HEDIS data.• Performs various quality department functions and processes, such as quality of care complaint/adverse event review, and assessment of medical record review results and recommend actions to address any identified improvement opportunities. • Participates in new hiring actions and on-boarding requirements for staff• Gathers and processes information needed to complete insurance claims and reimbursements; submits accurate electronic and/or hard copy claims to various payers• Assists in the coordination of flow of information between coding and other departments including Medical Records, Administration, Physicians and Medical Audits • Support the patient experience improvement interventions to make sure CareMax performs at 4 to 5 stars for all health plans• Perform other related duties as required or requested.

Florida National University

Bachelor's degree

Florida National University

Master's degree