Job Overview
Our client is looking for a QI-Medical Receptionists to support their quality improvement initiatives and front-office operations in a remote capacity.
This hybrid role blends administrative precision with compassionate member engagement, ensuring seamless coordination between patients, providers, and internal teams.
The ideal candidate is detail-oriented, tech-savvy, and committed to maintaining high standards of compliance, privacy, and productivity while working remotely.
Schedule
Monday - Friday, Specific hours are to be determined within the client's business hours, Pacific time (40 work hours per week)
Independent Contractor Perks
Permanent work from home
Immediate hiring
Health Insurance Coverage for eligible locations
Responsibilities
Receptionist Duties
Answer incoming calls, route messages, and manage ULTATEL TEXT Message systems professionally
Schedule appointments, transportation, and follow-up on GA food requested
Provide courteous, bilingual communication to members and providers
Maintain accurate documentation in SwyftOps systems and ensure timely data entry
Quality Improvement Support
Track and report care gaps, HEDIS measures, and Chart Audits
Support QI initiatives by assisting with chart audits, care plan reviews, and compliance checklists
Communicate with providers and case managers to ensure documentation accuracy and care gaps are being addressed
Assist with referrals, authorizations, and coordination of specialty services
Program Knowledge
Understand the company's Enhanced Care Management (ECM) model, including eligibility, referral workflows, and service offerings
Support member onboarding by explaining ECM benefits, care coordination goals, and available resources in both English and Spanish
Assist with Outreach & Referral (OR) processes, ensuring timely follow-up and accurate documentation of member engagement
Maintain working knowledge of Medi-Cal guidelines, CalAIM initiatives, and the company's interdisciplinary care approach
Participate in ongoing training to stay current on program updates, compliance standards, and QI metrics
Remote Work Compliance
Maintain a secure, quiet, and ergonomically appropriate home office environment
Log in daily via Teams by 8:15 AM (PST) and attend scheduled huddles or meetings
Submit daily productivity reports and categorized schedules to the supervisor by end of day
Ensure HIPAA-compliant handling of PHI—no public or shared spaces permitted
Follow the company's password and data security protocols, including locked storage and regular password updates
Limit personal tasks to designated breaks and lunch periods
Requirements
Minimum 2 years of experience in medical reception, care coordination, or QI support
Fluent in English (Spanish and Mandarin are a plus)
Basic understanding of medical terminology and healthcare services
Proficient in EMR systems, Microsoft Teams, Excel, and remote communication tools
Strong understanding of HIPAA, HEDIS, and MEDI-CAL documentation standards
Exceptional organizational skills and attention to detail
Ability to work independently while maintaining accountability and productivity
Qualifications
High school diploma required; Associate degree in Business Administration, Healthcare, or related field preferred
Side Note
This is a permanent work-from-home role under an Independent Contractor arrangement. Candidates must have their own computer and reliable internet connection, and are responsible for their own taxes and benefits. Professional hourly fees are established based on your performance in the application process.
Reminder
Please follow the provided link to BruntWork's Career Site to finish your initial application requirements, including the assessment questions, technical check, and voice recording.
Submissions with all requirements fulfilled will receive priority review.