Training and Quality Assurance Specialist

UMass Memorial Health•Worcester, MA

About The Position

Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for providing training, education and quality assurance programs, as assigned, for the UMass Memorial Health (UMMH). Serves as a resource and subject matter expert to assist in enhancing the patient experience and meet or exceed customer service requirements.

Requirements

Associate’s degree.
Two years of related experience (e.g. health care billing, reimbursement, managed care or scheduling, registration financial clearance, financial counseling).
Experience with revenue cycle systems, third party contracts, payment policies, claim processes or scheduling/registration systems, financial clearance or financial counseling processes.
Demonstrated interpersonal skills.
Demonstrated ability to train others in the use of revenue cycle systems.
Knowledge of billing, reimbursement and charges.
Goal oriented with high standards for quality and performance.
Flexibility of schedule.
Ability to perform assigned tasks efficiently and in timely manner.

Nice To Haves

Bachelor’s degree.
Previous training and education experience.

Responsibilities

Develops and delivers training and education referencing performance improvement initiatives. Curriculum updates may include new or refresher classes.
Participates in system upgrades and application enhancement planning using subject matter to develop or revise training curriculum.
Develops and demonstrates super user application expertise.
Provides training and education related to application navigation, during the onboarding process for employees new to the department, in new roles or new to the organization.
Performs competency testing and utilizes assessment tools to identify skill refreshment areas and prioritize educational needs.
Works collaboratively with UMMH various departments to improve workflows and processes.
Seeks input, updates, creates, and maintains current management policies and procedures.
Maintains current knowledge base of managed care, functions, payer behaviors, payer reimbursement practices, and payor billing processes and how they impact the management processes.
Follows quality assurance protocols to assess work quality of employees new to the department or in a new role.
Provides ongoing quality assurance oversight for employees following the established quality assurance program.
Monitors compliance with policies and procedures and ensures that all system features, available technologies, and tools are fully utilized.
Conducts audits to follow up on the effectiveness of teaching and compliance with policies and procedures to ensure consistent high-quality practice standards. Communicates findings to the management team.
Produces and maintains training schedules, and coordinates reservation of training rooms.
Facilitates and promotes the sharing of knowledge and content throughout UMMH departments.
May develop and facilitate New Employee Orientation.
May collaborate with management on the employee onboarding process.
May maintain and facilitate accesses to insurance web sites for UMMH.
Demonstrates excellent attendance and actively participates in a variety of meetings and training sessions as required.
Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group’s achievement of goals and to help foster a positive work environment.
Maintains and fosters an organized, clean, and safe work environment.
Demonstrates respect for the diversity of patient and employee populations. Supports and encourages diverse points of view, work, and lifestyles.
Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc.
Performs a variety of related duties as assigned by management.