TRAINING & QLTY ASSUR SPEC at UMass Memorial Health

Worcester, Massachusetts, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Mar, 26

Salary

96428.0

Posted On

27 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Training, Education, Quality Assurance, Interpersonal Skills, Revenue Cycle Systems, Billing, Reimbursement, Managed Care, Financial Counseling, Competency Testing, Policy Compliance, Auditing, Curriculum Development, Collaboration, Communication, Organizational Skills

Industry

Hospitals and Health Care

Description

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $53,580.80 - $96,428.80 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8:00am to 4:30pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5412 HB Performance Improvement TQA This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. 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. I. Major Responsibilities: 1. Develops and delivers training and education referencing performance improvement initiatives. Curriculum updates may include new or refresher classes. 2. Participates in system upgrades and application enhancement planning using subject matter to develop or revise training curriculum. 3. Develops and demonstrates super user application expertise. 4. 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. 5. Performs competency testing and utilizes assessment tools to identify skill refreshment areas and prioritize educational needs. 6. Works collaboratively with UMMH various departments to improve workflows and processes. 7. Seeks input, updates, creates, and maintains current management policies and procedures. 8. Maintains current knowledge base of managed care, functions, payer behaviors, payer reimbursement practices, and payor billing processes and how they impact the management processes. 9. Follows quality assurance protocols to assess work quality of employees new to the department or in a new role. 10. Provides ongoing quality assurance oversight for employees following the established quality assurance program. 11. Monitors compliance with policies and procedures and ensures that all system features, available technologies, and tools are fully utilized. 12. 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. 13. Produces and maintains training schedules, and coordinates reservation of training rooms. 14. Facilitates and promotes the sharing of knowledge and content throughout UMMH departments. 15. May develop and facilitate New Employee Orientation. 16. May collaborate with management on the employee onboarding process. 17. May maintain and facilitate accesses to insurance web sites for UMMH. 18. Demonstrates excellent attendance and actively participates in a variety of meetings and training sessions as required. 19. 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. 20. Maintains and fosters an organized, clean, and safe work environment. 21. Demonstrates respect for the diversity of patient and employee populations. Supports and encourages diverse points of view, work, and lifestyles. 22. Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc. 23. Performs a variety of related duties as assigned by management. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Associate’s degree. Preferred: 1. Bachelor’s degree. Experience/Skills: Required: 1. Two years of related experience (e.g. health care billing, reimbursement, managed care or scheduling, registration financial clearance, financial counseling). 2. Experience with revenue cycle systems, third party contracts, payment policies, claim processes or scheduling/registration systems, financial clearance or financial counseling processes. 3. Demonstrated interpersonal skills. 4. Demonstrated ability to train others in the use of revenue cycle systems. 5. Knowledge of billing, reimbursement and charges. 6. Goal oriented with high standards for quality and performance. 7. Flexibility of schedule. 8. Ability to perform assigned tasks efficiently and in timely manner. Preferred: 1. Previous training and education experience. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. At UMass Memorial Health, everyone is a caregiver. No matter their responsibilities or title, every employee or “caregiver” fills an important role for our patients and their families every day. Who is a caregiver? It’s not just the person who delivers the care. It’s all the people who make it work … and make it better. Caregivers give everything that helps patients heal, from expertise to extra attention. They give clean, comfortable rooms. Fast, accurate answers. And an easier, less stressful experience. They give warm, reassuring smiles, and helping hands. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, our community and each other. And everyone, in their own unique way, plays an important part, every day.

Responsibilities

The role involves developing and delivering training and education programs to enhance patient experience and ensure compliance with quality assurance protocols. The specialist will also collaborate with various departments to improve workflows and processes.