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Seneca Family of Agencies · 1 day ago

Quality Assurance Specialist

Atascadero, CA

Full-time

Hybrid

Entry Level

$26.52/hr - $29.02/hr

1+ years exp

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.

Mental Health Care

Growth Opportunities

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

Qualification

Data entryMicrosoft WordMicrosoft ExcelOrganizational skillsProblem solvingTime managementCollaborationCommunicationAttention to detail

Required

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

Preferred

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

Seneca Family of Agencies

Glassdoor3.9

For more than four decades, Seneca has offered a simple promise to each youth and every family we serve: No matter how profound the difficulties you face, we will be with you every step of the way.

Founded in 1985

Oakland, California, US

1001-5000 employees