Continuity of Care Document Educator and Training Specialist - PFS Revenue Integrity - Sharp Corporate - Day Shift - Full Time

Hours : Shift Start Time :

Shift Start Time : Variable

Variable

Shift End Time : Variable

Variable

AWS Hours Requirement :

8 / 40 - 8 Hour Shift

Additional Shift Information :

Weekend Requirements :

As Needed

On-Call Required :

Hourly Pay Range (Minimum - Midpoint - Maximum) :

$31.691 - $39.614 - $47.537

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

What You Will Do

To develop, deliver and monitor all aspects of staff training, auditing and ongoing education related to all GE Centricity Business system application including insurance billing, scheduling;

billing compliance; MPV contract management and customer service. To support department Manager, Supervisors and Leads in new program development, quality control and department procedures.

Required Qualifications

• H.S. Diploma or Equivalent
• 3 Years experience in clinic patient registration, accounting, and / or business services with demonstrated above-standard performance.
• Experience and knowledge of on-line patient accounting / registration systems with emphasis on the GE / IDX Centricity system.
• Leadership experience and / or experience with special projects motivating a group of people.
• Experience with Word, Excel and PowerPoint.

Preferred Qualifications

• Bachelor's Degree or equivalent knowledge / experience in related field.
• Experience with developing and delivering training programs, public speaking experience.
• Experience with developing and delivering training programs, public speaking experience.

Essential Functions

Customer service

Identifies training needs at both individual employee and CCD operating Unit Level. Outlines training needs, and develops program to include a measurement system to ensure knowledge retention, working in collaboration with PFS / CCD Managers and Leads.

Scope of training and education include but not limited to, patient registration, insurance billing regulations, billing compliance, payment posting and customer service and payer contract management.

Financial performance

Periodically reviews / audits payment posting batches; charge corrections batches; credit balances and other invoice / batches as supervisor deems necessary to ensure AR quality and compliance.

Guideline manuals

Develops and maintains user friendly unit guideline manuals for each CCD Business Service Unit, complete with new hire training and checklists for each area.

Manuals with index created and stored on intranet site.

Human resource management

Maintains individual employee records that include, recorded evidence of all training and development delivered to include, new hire orientation, all formal and informal programs, procedure in-servicing, competencies.

Routine competency testing is performed and tracked.

Meeting coordination

Responsible for planning and coordinating the PFS policy and procedure meetings.

Proposes and assists in development of policies and procedures as required.

Ensure that policy and procedures are completed within assigned deadlines.

Maintain and post a current list of all policies and procedures relevant to PFS CCD operations.

Program development and procedure implementation

Assists department management with new program development and new procedure implementation.

Attends meetings related to program development, informing management of meeting outcomes and assignments for next meeting.

Solicits input from department leads and staff and pulls data as appropriate to assist in decision making.

Quality assurance

Performs "post-training delivery" or "post-implementation" quality assurance.

Develops post-training tools for training effectiveness.

Routine competency tests are performed to identify training needs.

Staffing

Responsible for development of upgrade training and ongoing measurement tools for all levels of CCD staffing.

Training and education

Develops and delivers training, educational programs and / or procedural updates at the following levels : Individual employee and CCD billing units.

Responsible for the cross training of all CCD unit staff with, Patient and Payer Focus.

Develops and delivers 'new hire' unit-specific training in collaboration with unit team leader.

Develops Computer Based Learning systems to aid ongoing training and education.

Knowledge, Skills, and Abilities

• Required knowledge of benefits, covered services, billing, and reimbursement procedures of all payor types using MPV Contract Management and MPV Eligibility application in the last 3 years.
• Working knowledge of the legal aspects of collection procedures, ICD-9 codes, CPT codes, and medical terminology.
• Working knowledge of State and Federal Rules and Regulations governing patient billing.
• Preferred knowledge of Continuous Quality Improvement (CQI) and total Quality Management principles (TQMP) preferred.
• Ability to effectively work with Sharp Management and Staff.
• Ability to communicate clearly, concisely and accurately with people, verbally and in writing.
• Ability to achieve results for the organization with and through people.
• Ability to practice good time management and demonstrate leadership skills.
• Knowledge of basic principles of Physician-Patient accounting general procedures, Health Insurance billing and contract management;

knowledge of Patient Accounting software; Advanced Web and Enterprise Task Management (ETM).

Sharp HealthCare is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class