Agreement Assistant (12818)
Company: STG International
Location: Bethesda
Posted on: January 28, 2023
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Job Description:
STGi is currently seeking qualified candidates for our Agreement
Assistant position to support our contract with Federal
Occupational Health. This position is Bethesda, Maryland.Duties and
Responsibilities as listed in the contract:Job Specific Duties and
Responsibilities: (customized list of the actual duties performed
in support of FOH mission)Responsible for exam and administrative
fulfillment activities. Performs quality assurance (QA) on all
incoming exams to ensure that all services have been performed
according to agency medical requirements and request any missing
components from the OHC or PPN where the exam was performed.
Creates records within the FOH database and enters tracking dates.
Secondary duties could include: Scheduling of exams according to
the agency IAA, sending of determinations to agencies via mail or
electronically, and exam data entry.ClinicalThe Joint Commission
(TJC) - Quality and SafetyParticipates in preparation for TJC
accreditation, as requested.Use checklist created by the LE-S
Program Manager to assess exam quality and record quality
indicators (e.g. check for missing items) as directed by the
PM.Complete required training according to specified
deadlines.Attend all mandatory training for DE, AA and AMA
roles.Demonstrate understanding of the content of the LE-S Case
Review Program Plan annually.Service OperationsProcess case review
types according to the applicable case review SOPs within
timeframes specified by the PM.Identify and report measures that
can be taken to improve case processing efficiency to PM. Forward
questions from CHS staff about the case management process (i.e.,
questions related to services, work order interpretation & billing)
to the AMA.Schedule examinations in OHCs and through the PPN
according to SOP and within timeframes specified by the PM and
based on agency agreements.Contact FOH OHCs and Private Network
Provider points of contact and use the private provider network
portal to obtain missing exam and follow up items in timeframes
designated by the PM per the current exam process SOP.Escalate
missing exam items and other concerns that prevent case processing
for > 14 days.Provide administrative and clerical support for
case review processing. Maintain case review office files for
assigned work as directed by supervisor and according to SOP.
Ensure that exams are mailed/ emailed according to Interagency
Agreement specifics and dates tracked.Report all privacy and
security breaches immediately according to FOH and HHS policyAssist
the PM in orienting all levels of new AA case review staff.Works on
agency agreements with other staff members as assigned by the
Assistant Program managerAttend all case review team
meetingsAdministrative (Business/Management)ProcurementAlert PM or
Assistant Program Manager regarding new business opportunities and
customer requests to change requirements for existing
business.Assist with implementing new case review business and
changing requirements for existing business.Cost RecoveryEnter data
to track exam fulfilment in current FOH database for exams that are
received in the area office. Advise PM or AMA about billing
discrepancies.Perform billing fulfilment for exams received in the
area office per the billing fulfilment SOP.Demonstrate a complete
understanding of the current database used for billing, RMO reviews
and exam tracking staffing and reporting relationships.Staffing and
Reporting RelationshipsBe on time to work, work all designated
hours, request leave in timely fashion.Request leave according to
specified timeframes.Adhere to telework policy when
permitted.Create a climate of trust, accountability, and
professionalism. Understands 'chain of command' to report issues
affecting productivity and morale.Identify and report problems to
supervisor with hardware, telecommunications or other issues
impacting duties.TechnologyKnowledgeable and proficient in IT
systems, for database entry, tracking, other deliverables.Attends
training on IT systems, both initially and with updates; asks for
help when needed. Completes mandatory IT training by specified
deadlines.Inform PM of IT and other equipment needs, particularly
those that prevent completion of case processing within specified
deadlines.StrategyCustomer ServiceManage customer/agency complaints
professionally and route to the appropriate AMA via email within 24
hoursAdvise AMA/Team any observations which may necessitate changes
to Agreement no later than 48 hours after learning about the
change.Respond to customer complaints, issues, and requests
regarding FOH service within 24 hours. Follow outstanding issues to
resolution in a timely manner. Escalate issues as appropriate and
directed by the PM.Complete assigned tasks to ensure that all exams
including priority exams, exams that carry a turnaround penalty,
and RMO reviews meets FOH and agency turnaround requirements per
the agency agreement.Forward issues requiring RMO attention to
Agency-specific AMAMetricsGenerate customer specific reports in
current FOH database as required by the agency agreement.Monitor
tracking metrics. Suggest process improvements to and implement
process changes as directed by case review team supervisors to
ensure that quality and efficiency goals for the case review team
are met.Meet weekly target productivity goals for case creation and
case closure. Complete all required tracking fields within the
database systems.Required Skills:Minimum
Requirements/Knowledge/Skills:Must possess excellent oral and
written communication skills.Must be able to accept assigned work
and complete within expectations of timelines.Must demonstrate an
understanding of medical terminology and a basic understanding of
the clinical exam process.Seeks assistance and guidance from
supervisors when needed.Proficient with MS Excel, Word, and
PowerPointTyping speed: 50Medical Corps - 60J, 60L, 61F, 61H, 61N,
61R,62BMedical Specialist Corps - 65B, 65C, 65DNurse Corps -
66B,66H, 66PMedical Service Corps - 67G, 67JMedical CMF - 68A, 68B,
68E, 68F, 68G, 68J, 68Q, 68R, 68S, 68T, 68W, 68XRequired
Experience:Minimum Education
Requirements/Certification/Licensure/Experience:High school diploma
or equivalent with two years' experience working in a health care
setting which required the use of medical terminology, such as
experience in office front desk operations.Demonstrated excellent
interpersonal communication skills.STG International, Inc (STGi) is
a workforce solutions company providing comprehensive healthcare
delivery, Head Start and management consulting services and human
capital solutions help our clients. Our services and solutions help
our clients sustain and enhance their operations to better
accomplish their mission.STGi offers a competitive benefits package
which includes Medical, Dental, Vision, 401k with company match and
a generous PTO policy.STG International, Inc. is committed to
hiring and retaining a diverse workforce. We are proud to be an
Equal Opportunity/Affirmative Action Employer, making decisions
without regard to race, color, religion, creed, sex, sexual
orientation, gender identity, marital status, national origin, age,
veteran status, disability, or any other protected class.
Keywords: STG International, Bethesda , Agreement Assistant (12818), Other , Bethesda, Maryland
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