Training​/Qa Rep, Patient Access Services

What it's like at SGMC Health

Purpose:

No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Excellence:
We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.

Team Spirit:
We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.

Award Winning Performance:
We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

SGMC has great benefit options, depending on the role that you are going into—including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:

• Low Healthcare Insurance Premiums
• 401(k) with employer match
• Paid Time Off (PTO)
• Employee discounts
• Company paid life insurance
• Short-Term and Long-Term Disability
• Cancer Insurance
• Accident Insurance
• Pet Insurance
• Tuition Reimbursement
• On-the-job training and skills development
• Opportunities for growth and advancement
• Employee Assistance Program

SGMC Patient Financial Services

Patient Access Services PAS

Full Time, Varied Hours/Shift, Flex

Assists Department Director and Managers in the development and revisions of orientation programs, training manuals and recommends changes to departmental policies and procedures related to registration processes. Provides staff orientation and operational guidance to registration associates. Educates, trains and provides ongoing education for registration associates as necessary in Series and other applications. Serves as a resource to other department’s personnel in the registration process.

Audits/monitors the performance of registration associates for correct and accurate information. Responsible for monthly QA management reports covering all registration functions. Assists with coordinating error, corrections, and follow-up training activities. May be used as a backup registrar when necessary.

Associate degree preferred. Minimum of three years PAS/PFS experience. Requires extensive working knowledge of insurance, managed care and billing requirements. Prior training experience and CPAR certification preferred. Strong verbal and written communication skills are essential and required. Knowledge of, or coursework in, medical terminology. Familiarity with: CPT Coding, HCPCS, ICD-10, and DRG coding. Related regulatory and legal requirements:
Medicare Secondary Payer Questionnaire;
Advance Directives (living wills, healthcare surrogate); medical necessity checking requirements; ABNs; letters of non-coverage coordination of benefits. Reimbursement methodologies: percent-of charges; DRGs; and OPPS requirements. Must have a thorough understanding and knowledge of patient type; financial class; insurance master; employer codes; clinic codes; physician coding; admission source codes; relationship codes; accommodation codes; special handling codes; medical service codes. Must be able to organize workload in an efficient manner and type 40 wpm accurately.

Spanish bilingual highly desirable. EPIC certification required.