Mediabistro logo
job logo

Press Operator

Autokiniton, Bethesda, MD, United States


THIS IS NOT A REMOTE OPPORTUNITY

STG International (STGi) is currently seeking candidates for our Agreement Management Assist position in Bethesda, Maryland to support our Federal Occupational Health contract.

CLINICAL

Participate in preparation for TJC accreditation, as requested.

Ensure case processing timeframes and quality assurance parameters are met as directed by the PM before cases are forwarded to an RMO for review.

Assist the Assistant Program Manager with training new AMAs as directed by the LE‑S PM and Assistant Program Manager. Complete all required training by 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 OPERATIONS

Process case review types according to the applicable case review SOPs within timeframes specified by the PM.

Identify and report measures to improve case processing efficiency to PM or Assistant Program Manager. Receive and resolve questions from CHS staff about the case management process (e.g., services, work order interpretation & billing) or forward questions to the PM when appropriate.

Close the number of records per day as directed by the PM to send to an RMO and enter records for RMO review on the RMO electronic timesheet according to the timesheet SOP.

Schedule examinations in OHCs and through the PPN according to SOP and within timeframes specified by the PM and based on agency agreements. Verify examinee status if needed with the agency POC.

Contact FOH OHCs and Private Network Provider points of contact, and use the private provider network portal to obtain exam items per the current exam process SOP that prevent exam processing by specified deadlines.

Assist Admin Assistant in obtaining escalated missing exam items by specified deadline.

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 exams are mailed according to Interagency Agreement specifics and dates tracked.

Report all privacy and security breaches immediately according to FOH and HHS policy.

Assist the PM in orienting new AMA case review staff.

Work on agency agreements with other staff members, including RMOs, as assigned by the Program Manager.

Attend all case review team meetings.

PROCUREMENT

Coordinate with CHS AEs and OpsLeads to provide customer services (e.g., exams, outreach, health fairs, etc.) through FOH health units and the Private Provider Network.

Advise PM, AE, and OpsLeads regarding potential new business and customer requests to change requirements for existing business.

Assist with implementing new case review business and changing requirements for existing business.

COST RECOVERY

Fulfill RMO hours in the required current databases and standardized timesheet. Investigate billing discrepancies and elevate to fiscal department for resolution.

Review Private Provider Network invoices each month, identify discrepancies, and correct billing as needed.

Review billing in STM tickets that the AA creates and mark “reviewed” if services are provided through the FOH Private Provider Network on a daily basis 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

Be 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. Report to Assistant Program Manager staffing problems which can affect productivity / morale.

Identify and report problems to supervisor with hardware, telecommunications or other issues impacting duties.

TECHNOLOGY

Fully knowledgeable and proficient in IT systems for database tracking, billing and other deliverables.

Attend training on IT systems, both initially and with updates; ask for help when needed.

Complete mandatory IT training by specified deadlines.

Inform Assistant Program Manager or PM of IT and other equipment needs, particularly those that prevent completion of case processing within specified deadlines.

CUSTOMER SERVICE

Manage customer/agency complaints professionally with feedback within 48 hours of receipt and determine whether upper management involvement is needed during any point of process, referring in 24 hours.

Communicate with customer POC if there will be changes in the FOH agreement with minimal impact 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, and escape issues as appropriate and directed by the PM.

Complete assigned tasks to ensure that all exams—including priority exams and those that carry a turnaround penalty—and RMO reviews meet FOH and agency turnaround requirements per the agency agreement.

Coordinate with Reviewing Medical Officers by communicating directly with the RMO to ensure agency needs are met.

METRICS

Generate customer specific reports in the current database as required per the agency agreement.

Monitor tracking metrics.

Suggest process improvements to and implement process changes as directed by case review team supervisors to ensure quality and efficiency goals for the case review team are met.

Process exams to RMO according to established timelines and productivity goals utilizing RMO timesheet. Track exams to completion and troubleshoot any issues. Complete all required tracking fields within the database systems.

Required Skills

Must be highly organized and be able to manage teams of employees and administrative processes.

Must be able to assign tasks and delegate work efficiently.

Must possess excellent oral and written communication skills.

Appropriately escalates problems or resource issues for resolution.

Develops/maintains effective procedures for communicating with staff.

Proficient with MS Excel, Word, and PowerPoint.

Typing speed: 40 wpm.

Required Experience

Bachelor’s Degree in Business or Health‑Related field and a minimum of 1 year’s experience performing administrative duties in a health care program.

Demonstrated excellent interpersonal communication skills.

STGIOFFERS ACOMPETITIVE 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.

#J-18808-Ljbffr