Quality Assurance Specialist

1 month ago


Sacramento, United States Hope Cooperative (aka TLCS, Inc.) Full time
Job DescriptionJob DescriptionAre you a motivated individual with a passion for supporting others and making a difference in the community? Hope Cooperative is a highly respected, award-winning nonprofit provider of a full array of mental health and supportive housing services in Sacramento and Yolo Counties, and we need you to bring your compassion and support to the most vulnerable in our community. We are looking for dynamic, committed individuals to join our team Currently we are expanding and hiring, offering a sign-on bonus


Title: Quality Assurance Specialist

Program(s) and Location: Quality Assurance (Sacramento, CA)

Schedule: Full-time non-exempt, 40 hours/week, Monday- Friday 8:00am-4:30pm

Pay rate: $23.00/hour

Benefits: HOPE Cooperative (aka TLCS, Inc.) offers a competitive benefits package consisting of, but not limited to, the following, and may be subject to change:

  • 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
  • Transfer Sick Time Hours to PTO Hours
  • 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

* All benefit offerings are subject to change and are governed by the eligibility guidelines in the Employee Handbook. This list represents a general summary of available benefits and nothing stated here should be interpreted as being included in a written offer for employment.


Position Description:

The Quality Assurance Specialist provides clerical support and serves as the primary user of County’s EHR System and Medi-Cal Billing System.

Essential Duties and Responsibilities: (includes the following; other duties may be assigned)

  1. Verify correct entry into the EHR system, ensure completeness of EHR forms, prepare and submit any EHR claims correction spreadsheets to the EHR liaison for submission to the County.
  2. Check and update monthly Medi-Cal eligibility for clients.
  3. Accurately complete all necessary forms, reports and paperwork required by the program on a timely basis (e.g., Medi-Cal billing, EHR forms, HMIS).
  4. Ensuring billing accuracy and making necessary corrections.
  5. Assist in the development and oversight of the medical records system.
  6. Coordinate, or assist in, projects as directed, including creating, preparing and distributing special reports as needed or assigned.
  7. Act as a designated Mandated Reporter for the observed or suspected abuse and/or neglect of children, disabled individuals, dependent adults and elder/senior citizens. Mandated Reporter also includes “Duty to Warn” which includes the responsibility to notify authorities and the intended victim(s) of physical harm.
  8. Ensure the protection and confidentiality of all Protected Health Information (PHI) by following all policies and procedures in the HIPAA Manual.
  9. Regular and predictable attendance required.
  10. Use motivational interviewing, trauma-informed care, and harm-reduction practices

Education and/or Experience:

  • Demonstrated experience with Medi-Cal billing and EHR System.
  • Two (2) years of office work experience with attention to details.

Certificates, Licenses, Registrations:

  • 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.

Other Skills, Abilities, and Job Requirements:

  • Ability to pass clearance of the Federal Bureau of Investigation (FBI) and/or Department of Justice (DOJ) background screenings.
  • Consumer of mental health services or a family member of a mental health consumer is desirable.
  • Work overtime as requested and approved.

HOPE Cooperative (aka TLCS, Inc.) is an Affirmative Action/Equal Opportunity Employer, and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class. Our agency embraces a diverse & culturally rich workforce, and we welcome all candidates to apply.

To apply, visit our Hope Cooperative – Online Career Center

Final Filing Date: Until Filled



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