SGMC Health · 4 days ago
TRAINING/QA REP, PATIENT ACCESS SERVICES
Valdosta, GA
Full-time
Onsite
Mid Level
3+ years expSGMC Health is committed to improving community health and providing exceptional care. They are seeking a Training/QA Representative to assist in developing training programs and provide operational guidance to registration associates, ensuring compliance and quality in patient access services.
HealthcareHospitalHealth CareMedical
Responsibilities
Assists Department Director and Managers in the development and revisions of orientation programs, training manuals and recommends changes to departmental policies and procedures related to registration processes
Provides staff orientation and operational guidance to registration associates
Educates, trains and provides ongoing education for registration associates as necessary in Series and other applications
Serves as a resource to other department’s personnel in the registration process
Audits/monitors the performance of registration associates for correct and accurate information
Responsible for monthly QA management reports covering all registration functions
Assists with coordinating error, corrections, and follow-up training activities
May be used as a backup registrar when necessary
Qualification
Required
Associate degree preferred
Minimum of three years PAS/PFS experience
Requires extensive working knowledge of insurance, managed care and billing requirements
Strong verbal and written communication skills are essential and required
Knowledge of, or coursework in, medical terminology
Familiarity with: CPT Coding, HCPCS, ICD-10, and DRG coding
Related regulatory and legal requirements: Medicare Secondary Payer Questionnaire; Advance Directives (living wills, healthcare surrogate); medical necessity checking requirements; ABNs; letters of non-coverage coordination of benefits
Reimbursement methodologies: percent-of charges; DRGs; and OPPS requirements
Must have a thorough understanding and knowledge of patient type; financial class; insurance master; employer codes; clinic codes; physician coding; admission source codes; relationship codes; accommodation codes; special handling codes; medical service codes
Must be able to organize workload in an efficient manner and type 40 wpm accurately
EPIC certification required
Preferred
Prior training experience and CPAR certification preferred
Spanish bilingual highly desirable
Benefits
Low Healthcare Insurance Premiums
401(k) with employer match
Paid Time Off (PTO)
Employee discounts
Company paid life insurance
Short-Term and Long-Term Disability
Cancer Insurance
Accident Insurance
Pet Insurance
Tuition Reimbursement
On-the-job training and skills development
Opportunities for growth and advancement
Employee Assistance Program
Company
SGMC Health
SGMC Health is the most comprehensive health system serving South Georgia and North Florida.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Ronald E. Dean, MBA, FACHE
President and Chief Executive Officer
John Moore
Senior Vice President and Chief Financial Officer
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