Quality Assurance Specialist bei Seneca Family of Agencies

The Quality Assurance Specialist maintains client files for all clients within their assigned program, with a focus on the quality assurance of the program. The Quality Assurance Specialist compiles, updates, and organizes all documentation for the clients within their program in collaboration with clinicians, counselors, and program leaders to ensure program compliance and support payment processes.

*This position supports our clinics in Hollister and Atascadero. In-person support will be required at our Atascadero office*

About Seneca's Mental Health Clinics

Our clinics provide Specialty Mental Health Services to children who are adopted, being raised by relative caregivers, or in the foster care system. Our therapeutic services focus on providing permanency for children, addressing the impact of adoption/foster care on a child and the family, and addressing the impact on children being raised by relative caregivers. We are staffed by master level therapists offering individual, family, and group therapy. Our program builds upon and enhances the strengths of children and families, accelerating their progress toward attaining stability, improving their relational skills, self-sufficiency, and long-term success.

About Seneca

Seneca Family of Agencies has been nominated among the Bay Area’s Top Workplaces for several consecutive years. We’re committed to providing traditionally marginalized communities with a network of excellent mental health, community-based, and educational services. We are committed to building a diverse staff. Our programs deeply engage in conversations and training on Diversity, Equity, and Inclusion to bring equity and justice to the youth and families we serve.

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.

Qualifications:

Required

• Education/experience requirements:
• 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.

Skills of an Ideal Candidate 

• 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.

Schedule

• Full-time, hybrid role
• Monday - Friday, 9:00 AM - 5:30 PM

Benefits

• Starting at $26.52 - $29.02 per hour
• Actual salary dependent on creditable experience above the minimum qualifications for the role
• Additional compensation provided upon passing a bilingual language proficiency exam 
• Salary increases each year 
• 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