Quality Assurance Specialist
Seneca Family of Agencies is a mental health service provider focused on supporting traditionally marginalized communities. The Quality Assurance Specialist is responsible for maintaining client files, ensuring program compliance, and supporting payment processes within assigned programs.
Responsibilities
- Create and maintain client records for assigned program(s) according to the Health Insurance Portability and Accountability Act (HIPAA), Community Care Licensing (CCL), and Seneca regulations
- Monitor and track required county health plan documentation, ensuring accurate completion according to established programmatic, county, and state guidelines
- Support the program with holding the main phone line to screen calls and provide information to callers
- Greet clients and families as they arrive for appointments at the office
- Communicate with treatment team regarding corrections or necessary changes on documentation. Input, complete, and review billing and payment invoices using internal and external Electronic Health Record (EHR) systems for assigned program(s) and submitting reports to the Accounting Department in a timely manner
- Ensure appropriate and timely distribution of Incident Reports
- Investigate and resolve billing inaccuracies and billing related issues
- Ensure timely submission of invoices for non-county health plan clients to appropriate department(s)
- Process Record Requests in compliance with HIPAA rules and Seneca policies and procedures
- Prepare charts for audits and accreditation surveys
- Attend all meetings and trainings, as directed
Skills
- Bachelor's degree OR
- Associate degree and 1 year of applicable work experience OR
- High school diploma and 2 years of applicable work experience
- Applicable work experience includes any administrative position (paid or unpaid) requiring frequent data entry, ability to prioritize multiple projects within strict deadlines, and coordination with multiple departments
- Demonstrated proficiency in Microsoft Word, Outlook, and Excel
- At least 21 years of age
- TB test clearance, fingerprinting clearance, and any other state/federal licensing or certification requirements
- Valid driver's license, clean driving record, and insurability through Seneca Family of Agencies' insurance policy
- Must live within reasonable distance to our offices in Atascadero
- Ability to compile and track documents according to strict guidelines and regulations
- Excellent organizational, problem solving, and time management skills
- Ability to collaborate with diverse co-workers, partners, and community members
Benefits
- 5 weeks of paid time off, 11 paid holidays
- Mileage reimbursement
- Comprehensive employee benefits package: Medical, dental, vision, chiropractic, acupuncture coverage
- 50% paid premiums for dependents
- Long-term disability, family leave, and life insurance
- 403b Retirement Plan
- Employer-paid Employee Assistance Plan
- Seneca is a Public Service Loan Forgiveness certified employer
- Scholarship opportunities, ongoing training, and professional development opportunities
- Promotional opportunities across the agency in California and Washington
Company Overview