Bh20 - Administrative/quality Assurance Assistant
3 weeks ago
**SUMMARY OF DUTIES AND RESPONSIBILITIES**
The Administrative/Quality Assurance Assistant (A/QAA) works as a staff member of the Behavioral Health team and is primarily responsible for aiding and ensuring timeliness, quality and accuracy of billing documentation and files. The A/QAA ensures all documents are in compliance with Medi-Cal billing standards and are reported timely and accurately. The position shall report to the Director of Behavioral Health. The primary responsibility of the A/QAA is to maintain client records as per MediCal and county contract requirements. This position is responsible for the administrative support for all client documentation such as the charting timetable, verifying presence of all required clinical documentation and maintaining the physical and electronic client records. The position supports the direct care staff and Behavioral Health leadership.
**PRIMARY DUTIES AND RESPONSIBILITIES**
- Responsible for the intake, admissions, discharges, and changes to diagnoses in the electronic health records systems and billing systems.
- Create and maintain client records for assigned program(s) according to federal, state and local law, as well as agency policy.
- Monitor and track required documentation, ensuring accurate and valid completion according to established programmatic, county, and state guidelines.
- Check monthly state and county Medi-Cal/Private Insurance eligibility.
- Conduct Quality Management Chart Review of all administrative, clinical, and medical documentation to ensure proper completion of documents.
- Process client documentation completed by direct service staff.
- Communicate with treatment team regarding corrections or necessary changes for documentation.
- Maintain current chart status using the chart tracking tools and communicate with clinical team about needed/missing/incorrect documentation.
- Create document checklist for Associate Director to facilitate monthly PURQC process.
- Manage and track peer review and QA chart review processes to ensure high quality records.
- Run client reports from the electronic health records system and or billing systems.
- Responsible for all billing using Billing Information Systems for assigned program(s). Includes: client registration, opening/closing client episodes, and accurate service entries/ maintenance. The type and number of entries depends upon which program the Quality Assurance Specialist is assigned to.
- Troubleshooting billing issues and inaccuracies. Submitting billing summaries and reports necessary for invoicing to appropriate department(s).
- Complete proper storage of charts upon client discharge. Prepare charts for storage after completing technical and clinical audits.
- Handle general daily office activities as it is related to billing, including but not limited to correspondence, typing, reporting, filing, phone calls, visitors, shipments, deliveries, mail, copies, faxes, tours, meeting minutes, etc.
- Assist with managing required onboarding tasks for new staff, i.e. training, mandatory documents, systems log ins etc.
- Establish and maintain organizational procedures to ensure effective operations and administrative support.
- Ensure the schedules, rosters and other written documentation is accurate and current.
- Order office supplies and other program necessities as approved by management.
- Manage long-term chart storage.
- Distribute daily information to various agencies in a professional and accurate manner.
- Process Record Requests in accordance with federal, state and local law and agency policy, as needed.
- Provide support of audits, such as the county or state audits
- Attending county meetings about billing, payment, etc.
- Other duties as assigned.
ECS will consider for employment qualified applicants with arrest and conviction records as consistent with San Francisco's Fair Chance Ordinance.
ECS celebrates diversity, equity, inclusion and belonging and is an equal opportunity employer committed to creating an inclusive environment for all employees.
**REQUIREMENTS**:
- High School diploma or equivalent.
- At least three years of experience working in an office environment.
- Moderate to High levels of experience in using Microsoft Excel and comfort with a variety of database programs.
- Experience and success in office management.
- Ability to utilize resources available to complete assigned projects.
- Ability to prepare written reports and correspondence.
- Ability to understand and follow verbal and written instructions.
- Ability to effectively communicate, verbally and in writing.
- Must be able to maintain a high level of confidentiality.
- Must have excellent organization and time management skills.
- Ability to build and maintain positive internal and external relationships.
- Ability to provide exemplary customer service to all employees and outside constituents.
- Ability to function independently and as a member of a team in a multi-task environment.
- Must b
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