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PRIORITY AMBULANCE CALIFORNIA LLC

Open 22d

Document Quality Assurance Manager

Posted Updated 3 views
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Summary

Oversees Document Quality Assurance (DQA) and facility billing for an ambulance services company, managing team supervisors and billers, monitoring billing holds and workflows, tracking licensure renewals, and serving as liaison between Operations and the Central Billing Office. Work centers on billing processes, reporting, and license/contract databases.

ROLE SUMMARY

The DQA Manager oversees the DQA and Facility Billing processes in designated locations within the company. This person also acts as a liaison between Operations and the Central Billing Office, providing direction and leadership to the operation’s processes regarding DQA and Facility Billing.

This is a Non-Exempt/Hourly position.

KEY RESPONSIBILITIES

Specific Duties:

  • Manage area DQA team supervisors and Facility Contract Billers to include timekeeping.

  • Monitor Hold Dashboard for all operations and assist to reduce days to bill.

  • Monitor DQA workflows for all operations.

  • Monthly DQA Productivity/Accuracy Reporting

  • Manage the licensure for each Operation to ensure no lapse in renewal.

  • Update the license and contract database with expiration dates.

  • Provide support and education for Operations regarding DQA and Facility Billing processes.

  • Review Facility aging reports with Facility Billers

  • Review, Sign, and Approve legal letters for Facility Billers.

  • Assist Operations/Hold Specialists/DQA Supervisors by reviewing Service Level and GY holds.

  • Assist DQA Supervisors in finding out of area DQA coverage due to staffing shortages.

  • Identify and recommend solutions to Operations process improvement that affect billing.

  • Performs as liaison between RCM and Operations

  • Attend meetings when requested.

  • Participate in company projects as requested.

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