Priority Ambulance · 20 hours ago
DQA Representative
Anderson, SC
Full-time
Onsite
New Grad, Entry LevelPriority Ambulance is seeking a DQA Representative responsible for verifying patient demographics and health insurance coverage while ensuring necessary documentation for billing is obtained. The role involves effective communication with various staff to ensure compliance and quality in ambulance transportation claims documentation.
Health CareHome Health CareTransportation
Responsibilities
Thoroughly evaluates all documentation received from Operations personnel (example PCRs, PCSs), Dispatch personnel (example: CAD records, call types, priorities), and external customers (example: insurance and demographic information) and ensure any shortcomings or discrepancies are addressed prior to submitting documentation and information to the billing office
Should ensure that all items listed on the DQA Key Data Point Review Sheet are reviewed, present and accurate prior to submission
Audits PCRs to ensure compliance with local medical protocol and works in coordination with DQA Supervisor, billing, and operations
Cross references all PCRs with CAD data to ensure that all ambulance runs have appropriate documentation completed and submitted
Generates reports as required to assist management team in ensuring quality of field documentation
Contacts healthcare facilities, public safety agencies and insurance companies to obtain additional information for completion of documentation for ambulance runs when necessary
Coordinates documentation and evaluation of repetitive patients in accordance with the company “Repetitive Patient Ambulance Transport Policy” when applicable
At the direction of DQA Supervisor follows up on any records held in Hold Que’s to address any shortcomings or discrepancies within the areas of insurance verification, patient demographics, and clinical documentation issues
Ensures the security of all company computer systems by adhering to security procedures and utilizing appropriate passwords policies
Always maintains security and privacy of all confidential and proprietary company information in accordance with company policy
Always maintains security and privacy of all company and patient information in accordance HIPPA and all other local, state, and federal regulations
Notifies DQA supervisor or any lapses in documentation resulting in less than full compliance with company and HIPPA standards
Reports to assigned shifts properly groomed and according to the company dress code
Ensures that work area is ready for use at the beginning of each shift and after shift. This includes making sure that work area is clean and organized and that all company documents are appropriately filed and secured according to local, state, and federal law, company policy and HIPPA regulations
Completes all duties in accordance with local, state, and federal law, EMS regulations and company policy
Demonstrates complete knowledge, understanding and compliance of company policies and procedures
At all times sets an example of professionalism and places customer service, compliance, and safety above all else
Performs other duties as directed by management
Qualification
Required
Responsible for verifying patient demographics and health insurance coverage
Ensures that all documentation necessary for the billing of ambulance transportation claims is obtained promptly from field staff for all billable events
Effectively communicates with Call Takers, Dispatchers, Dispatch Shift Supervisors, Drivers, EMT's, Field Supervisors, Director of Operations and other management and support staff
Thoroughly evaluates all documentation received from Operations personnel, Dispatch personnel, and external customers
Ensures any shortcomings or discrepancies are addressed prior to submitting documentation and information to the billing office
Ensures that all items listed on the DQA Key Data Point Review Sheet are reviewed, present and accurate prior to submission
Audits PCRs to ensure compliance with local medical protocol
Works in coordination with DQA Supervisor, billing, and operations
Cross references all PCRs with CAD data to ensure that all ambulance runs have appropriate documentation completed and submitted
Generates reports as required to assist management team in ensuring quality of field documentation
Contacts healthcare facilities, public safety agencies and insurance companies to obtain additional information for completion of documentation for ambulance runs when necessary
Coordinates documentation and evaluation of repetitive patients in accordance with the company 'Repetitive Patient Ambulance Transport Policy' when applicable
Follows up on any records held in Hold Que's to address any shortcomings or discrepancies
Ensures the security of all company computer systems by adhering to security procedures and utilizing appropriate passwords policies
Maintains security and privacy of all confidential and proprietary company information in accordance with company policy
Maintains security and privacy of all company and patient information in accordance HIPPA and all other local, state, and federal regulations
Notifies DQA supervisor of any lapses in documentation resulting in less than full compliance with company and HIPPA standards
Reports to assigned shifts properly groomed and according to the company dress code
Ensures that work area is ready for use at the beginning of each shift and after shift
Completes all duties in accordance with local, state, and federal law, EMS regulations and company policy
Demonstrates complete knowledge, understanding and compliance of company policies and procedures
Sets an example of professionalism and places customer service, compliance, and safety above all else
Company
Priority Ambulance
Priority Ambulance provides emergency and nonemergency medical care services.
Founded in 2014
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2017-04-25Private Equity
Leadership Team
Scott Yates
Vice President of Corporate Development
Recent News
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