Document Quality Assurance Manager

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. 

Qualifications

REQUIRED QUALIFICATIONS 

Minimum Requirements 

• Listening and Communication Skills - demonstrated ability to listen to the ideas and opinions of others actively and attentively, to communicate clearly and succinctly to get the desired message across and to provide timely feedback on project status. 

• Work Behavior - demonstrated ability to work well independently, with little supervision or direct guidance needed, or in a team and the ability to convey the necessary confidence to achieve objectives even in tough situations. 

• Problem Solving Skills - demonstrated ability to define difficult problems by asking key questions and helping develop creative and effective solutions. 

• Business and Technical Expertise - demonstrated business experience with the Zoll Billing/CAD system. 

• Results Oriented -- demonstrated ability to achieve results and add value to the organization. Must possess a sense of urgency and ability to function within a dynamic, fast paced and changing structure. 

• Attention to Detail – demonstrated ability to ensure accuracy of work product. 

• Role Model -- demonstrates the types of knowledge, skills, abilities, and attitude that leadership would want others to emulate. 

• Display a positive attitude toward the position held, Priority Ambulance, and its employees, clients, partners, or affiliates. 

• Work extended hours as needed. 

Qualifications and Education Requirements 

• 3-5 years of experience in healthcare revenue cycle with management experience preferred. 

• Exceptional attention to detail required. 

• High school diploma. 

• Experience with MS Outlook, Word, and Excel 

PHYSICAL REQUIREMENTS 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. 

• The ability to reach, push and pull. 

• Ability to sit, stand, walk, bend, and lift up to 25 pounds occasionally  

• Ability to use computers and office equipment for extended periods  

• Ability to review documentation and electronic records for prolonged periods  

• Ability to travel between operational sites and healthcare facilities  

• Ability to respond to operational or clinical situations as needed  

CORE COMPETENCIES 

• Quality Assurance Leadership  

• Regulatory Compliance  

• Analytical Thinking  

• Process Improvement  

• Coaching & Development  

• Data Interpretation  

• Risk Identification  

• Communication Skills  

• Documentation Integrity  

• Accountability  

REPORTING RELATIONSHIP 

Reports directly to the Regional Director, Clinical Services or designee. 

WORK ENVIRONMENT & TRAVEL 

Travel Requirements 

Moderate travel may be required for audits, field observations, operational meetings, and training activities. 

Work Environment 

This role operates in both office and field environments supporting clinical quality assurance and compliance functions. Exposure to EMS operational settings, healthcare facilities, and patient care documentation is expected.