Vendor Trainer-QA Analyst, Registration
About The Position
The Vendor Trainer - QA Analyst for Registration, Eligibility & Benefit Estimation will coordinate, train, optimize and perform QA on the day-to-day activities of vendor management process. Based on the observations from quality audit identify training needs and work with vendors to create curriculum and optimize existing training documents. This position will facilitate training and quality review within the Registration, Eligibility & Benefit Estimation Department of Duly Revenue Cycle Management. This position trains, implements, monitors procedures/processes for maximum efficiency, productivity, and cost containment. Ensures internal procedures for all areas are in compliance with contractual standards, industry standards, and accepted guidelines of regulatory agencies.
Requirements
- 5 years or more of experience in i the Registration, Eligibility & Benefit Estimation Healthcare field for large multi-specialty group practice. Training/QA background preferable.
- 5+ years
- Strong understanding of healthcare processes, especially patient registration, eligibility, benefit estimation and compliance requirements.
- Excellent training and relationship management skills.
- Strong analytical and problem-solving abilities.
- Exceptional communication and interpersonal skills.
- Proficiency in healthcare IT systems and software.
Nice To Haves
- Experience with electronic health records (EHR) systems-preferably Epic
Responsibilities
- Monitor vendor performance against service level agreements (SLAs) and key performance indicators (KPIs) to ensure they meet operational and compliance standards.
- Perform quality control reviews to monitor the accuracy and timeliness of patient registration, eligibility and benefit estimation.
- Based upon observations from quality audits, identify training needs and collaborate to train internal and vendor teams, such as billing, coding, and patient care, to integrate the Registration, Eligibility & Benefit Estimation services smoothly into the overall RCM process.
- Identify and resolve issues related to vendor performance and patient registration, eligibility and benefit estimation processes.
- Drive continuous improvement initiatives with vendors to enhance service delivery and patient outcomes.
- Develop and maintain strong relationships with external vendors specializing in the patient registration, eligibility & benefit estimation services.
- Facilitate regular reviews and audits to ensure adherence to healthcare regulations and standards, including HIPAA.
- Stay updated with changes in healthcare regulations and industry best practices to ensure vendor services remain compliant and effective.
- Performs other duties as necessary
Benefits
- Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
- Access to a mental health benefit at no cost.
- Employer provided life and disability insurance.
- $5,250 Tuition Reimbursement per year.
- Immediate 401(k) match.
- 40 hours paid volunteer time off.
- A culture committed to community engagement and social impact.
- Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
