Hope Cooperative · 1 month ago
Quality Assurance Specialist - Hope Cooperative (TLCS, Inc.)
Sacramento, CA, US
Full-time
Onsite
Entry Level
$24.14/hr - $24.15/hr
2+ years expHope Cooperative is a highly respected, award-winning nonprofit provider of a full array of mental health and supportive housing services in Sacramento County. They are seeking a Quality Assurance Specialist to ensure accuracy, compliance, and efficiency across the organization’s Medi-Cal billing programs, while also monitoring the quality of services provided through routine chart audits.
Health CareMental HealthNon ProfitProperty ManagementSocial
Responsibilities
Review and update clients’ Medi-Cal eligibility on a monthly basis, and prepare and distribute an eligibility spreadsheet to the assigned program to ensure accurate billing and timely reimbursement
Process medical record requests from a variety of agencies—including Social Security, attorneys, courts, physicians, and individuals—while ensuring strict adherence to all HIPAA-compliant guidelines and confidentiality regulations
Provide feedback, training, and quality improvement recommendations to billing staff, clinicians, and administrative teams
Collaborate with billing leadership to refine workflows, enhance quality standards, and support ongoing process improvement initiatives
Identify trends, errors, or process gaps that lead to denials, delays, or billing inconsistencies
Act as a designated Mandated Reporter, fulfilling the responsibility to report suspected abuse or neglect of children, dependent adults, disabled individuals, and seniors. This includes adhering to the 'Duty to Warn' protocols by notifying authorities and potential victims of threats of physical harm
Ensure the protection and confidentiality of all Protected Health Information (PHI) by following all policies and procedures in the HIPAA Manual
Regular and predictable attendance is an essential requirement of this position
Attend meetings as assigned by the Quality Assurance Manager, actively participate, and share detailed notes and insights with the team
Other duties as assigned
Qualification
Required
Demonstrated experience with Medi-Cal billing and EHR System
Two (2) years of office work experience with attention to details
Possess a valid California Driver's License and current vehicle insurance
Driving records must meet, and continue to meet, the underwriting standards established by the generalized driving guidelines used by our insurance broker
Must provide proof of insurance
Must have at least 3 or more years of driving experience
Ability to pass clearance of the Federal Bureau of Investigation (FBI) and/or Department of Justice (DOJ) background screenings
Preferred
Consumer of mental health services or a family member of a mental health consumer is desirable
Benefits
21 PTO days per year (4 weeks & 1 day)
26 PTO days after the 5th year (5 weeks & 1 day)
6 days paid sick time
11 paid holidays
1 Personal Day
Leadership Development!
Reimbursements!
Eligible for Government Loan Forgiveness Programs
Employer-paid health insurance for employees and children (Kaiser, Sutter or Western Health Advantage)
HSA Contributions
Flexible Spending Account
401k match
PTO Cash Out
Voluntary Dental, Vision, Life Insurance, Accident Insurance, Disability Insurance and more
Employee Assistance Program
Regular wage step scale increases
Flexible start/end times for some positions
IPhone with unlimited data for personal/professional use and laptop for some positions
Clinical Supervision towards licensure (for certain positions and upon approval)
CEU days for certain positions
Up to $500 CEU allowance for certain positions
Annual BBQ and staff appreciation awards
Annual Gift Card Program
Referral Bonuses
Company
Hope Cooperative
Hope Cooperative is a nonprofit organization that offers mental health and supportive housing services.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$2.6MKey Investors
Health Net
2025-06-03Grant· $2.6M
Leadership Team
Erin Johansen
Chief Executive Officer
Karen Dolce
Chief Financial Officer
Recent News
2025-05-08
Sacramento Business Journal
2025-03-06
Company data provided by crunchbase