Sr PAS QA Specialist

2 weeks ago

Lynn MA United States Partners Healthcare System Full time

Under the general direction of the PAS Manager of Business and Operations, this role will provide oversight of the PAS Training and QA processes to ensure materials are compliant and current with Epic and industry standards. Key area of focus will include ensuring the quality of registrations across the hospital are meeting benchmark to eliminate added volume in work queues and ensure efficient claim processing. Actively work in Epic software to review registration errors, authorizations and insurance claim edits. Identifies areas for improvement and develops, implements, maintains and continuously evaluates the training program for Patient Access employees. This role will also serve as a subject matter expert and assist with Epic system upgrades and education and re-training of staff.

Job Specific Responsibilities:

* Develops effective employee training programs targeting accuracy and efficiency, and evaluates the effectiveness of these programs.
* Provides direction to the to QA/Training Specialist on developing and refining training materials to ensure training program is robust, compliant and effective.
* Keeps abreast of training trends, developments and best practices and communicates with team.
* Identifies training needs for the organization, provides feedback, coaching, and mentoring to employees.
* Takes direction from the PAS Business and Operations Manager to work collaboratively with hospital departments and MGB Revenue Cycle to ensure best practice in workflows.
* Holds training team meetings for review of department accuracy and competencies.
* Provides monthly updates to the Business and Operations manager on department performance.
* Works closely with the PAS Management team to develop improvement plans for employees falling below accuracy rate standards.
* Will serve as the point person to guide QA Specialist on next steps to ensure competency is achieved for all new hires and existing staff. Provides direction when a change in course of action is needed.
* Maintains clear channels of communication for effective training, education and problem solving.
* Provides training and re-education to all existing and new PAS employees.
* Maintains staff training records and completes competency review for all new PAS employees.
* Proactively work assigned Epic work queues and review daily registrations for accuracy.
* Maintains accuracy dashboards and reports, and communicates to staff.
* Actively participates in the design, development/acquisition, implementation and evaluation of computerized information systems to be used as operations and/or management tool for Patient Access Services, as well as other hospital departments.
* Performs extensive testing during implementation of any new program to ensure data integrity.
* Provides SME support during system updgrades and launching of new software.
* Works with eCare teams to develop and implement standard reports and measurement tools for monitoring accuracy and completeness of data collected by Patient Access Services.
* Actively participates on designated committees, both internal and external regarding the revenue cycle.
* Adhere to hospital wide standards and department specific standards for service excellence, including, but not limited to: identification of and response to customer needs, appropriate communication, protection of patient privacy and confidentiality, etc.
* Maintain a professional relationship and cooperative rapport with co-workers, other healthcare professionals, supervisors and other leaders across the organization.
* Understands that professional and effective communication, while breaking down silos across departments is critical to departmental and hospital success.
* Motivates staff in a positive manner and promotes teamwork by accepting and practicing the policies and procedures of the department.
* Adheres to HIPAA requirements and maintains confidentiality of all patient information.
* Motivates staff in a positive manner and promotes teamwork by accepting and practicing the policies and procedures of the department
* Cross site responsibility. Travel to various sites as needed.

Skills:

* Required: Excellent computer skills. Must be proficient with windows, Word, PowerPoint and Excel. Strong written and verbal communication skills. Customer service skills is a must.
* Preferred: Epic experience. Previous training experience.

Experience:

* Required: 2 years in Patient Access Services or Training.

Education/Degree requirements:

* Required: High school Diploma or equivalent
* Preferred:Associates/Bachelor's Degree in business or computer applications or Information systems or related .

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