Bilingual Virtual QI Medical Receptionist

Overview

The Bilingual Virtual QI Medical Receptionist supports Quality Improvement initiatives and front-office operations in a remote capacity. This role blends administrative precision with compassionate member engagement to ensure seamless coordination between patients, providers, and internal teams while maintaining high standards of compliance.

Job Highlights

• Schedule: Full Time (8hrs a day with 1hr unpaid break) | To be determined (within clients business hours)
• Work Arrangement: Work from home
• Contract: Independent Contractor

Independent Contractor Perks

• Health Insurance coverage for eligible locations
• Permanent work from home
• Immediate hiring
• Steady freelance job

Responsibilities

Receptionist Duties

• Answer incoming calls, route messages, and manage ULTATEL TEXT Message systems professionally
• Schedule appointments, transportation, follow-up on GA food’s requested
• Provide courteous, bi-lingual 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 companys 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 companys 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 supervisor by end of day (tracking report)
• Ensure HIPAA-compliant handling of PHI—no public or shared spaces permitted
• Follow companys password and data security protocols, including locked storage and regular password updates
• Limit personal tasks to designated breaks and lunch periods

Requirements

• High school diploma and Associate degree in Business Administration, Healthcare, or related field preferred
• Minimum 2 years of experience in medical reception, care coordination, or QI support
• Fluent in English and Spanish (written and verbal)
• Basic understanding of medical terminology and healthcare services
• Proficient in EMR systems, Microsoft Teams, and 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

Technical & Environmental Requirements:

• Reliable high-speed internet connection
• Secure workstation with proper lighting, ventilation, and minimal noise
• Access to locked file storage and password-protected devices
• Willingness to comply with companys IT and security protocols

Side note: Since this is a permanent work-from-home position and an “Independent Contractor” arrangement, the candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional pay rate is based on hourly rates and the rate depends on your performance in the application process.

Reminder

Apply directly to the link provided; you will be redirected to BruntWork’s Career Site. You must apply using the provided link to complete the initial requirements, which include pre-screening assessment questions, a technical check of your computer, and a voice recording.

APPLICATIONS WITH COMPLETE REQUIREMENTS WILL BE PRIORITIZED.

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