Quality Operations Coordinator

CSI Companies•Nash, TX

10d•$44,000 - $50,000•Onsite

About The Position

At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care. CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. Summary The Quality Operations Coordinator provides direct administrative and operational support to the Quality Control Director and the broader Quality team. This role helps manage day-to-day quality activities, documentation, audits, training records, and process improvement initiatives to ensure compliance with internal procedures, regulatory standards, and accreditation requirements. The ideal candidate is highly organized, detail-oriented, and comfortable coordinating between departments to maintain workflow efficiency and quality standards. Salary Range: $44,000 - $50,000/yr (DOE) Schedule: (On-Site) Monday - Friday, 8:30am - 5:00pm Location: Nash, TX

Requirements

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

Nice To Haves

College or technical college preferred

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.
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.