Quality Assurance / filling office clerk – Happy Dragon Daycare Center

Job details

Salary
From $38,000 a month

Job Type
Full-time

Number of hires for this role
2

Qualifications

• • ISO 9001: 1 year (Preferred)

  • US work authorization (Preferred)

Full Job Description

Job description

Job Summary

The Quality Assurance Program Manager will be responsible for auditing client charts to ensure proper compliance as specified by State agencies, and will work closely with the Finance department to complete and maintain all billing and billing procedures. The ideal candidate will have worked in an Early Intervention capacity, will be detailed oriented and will have strong administrative and organizational skills.

Responsibilities:

• Ensure all session notes meet New York State Early Intervention regulations through a pre-verification process using Providersoft on a daily basis.
• Review all cases on a quarterly basis to identify fiscal and/or filing errors and inform supervisory staff.
• Assist Accounts Receivable Specialist with bi-weekly provider billing.
• Identify and prepare all trends for monthly Quality Assurance meeting with Early Intervention staff and maintain communication with providers to ensure compliance.
• Create and follow up with start of care report and documentation
• Identify inactivity/gap in services and ensure documentation is as per New York City/State guidelines.
• Compare authorized mandate with provider session notes as notes are received (bi-weekly).
• Ensure that regular, missed or make up notes are submitted for each authorized service.
• Ensure that every missed session is properly documented (family driven reason or event out of provider’s control).
• Ensure that appropriate documentation is on file when gaps in services, delay in start of care and/or anticipated absence occur.
• Confirm that all therapists are entering documentation on ProviderSoft on weekly basis; contact therapists when necessary to prompt entries.
• Use internal quality assurance checklist to review all files on a quarterly basis.
• Other duties as assigned by supervisors.

Responsibilities and Duties

Responsibilities:

• Ensure all session notes meet New York State Early Intervention regulations through a pre-verification process using Providersoft on a daily basis.
• Review all cases on a quarterly basis to identify fiscal and/or filing errors and inform supervisory staff.
• Assist Accounts Receivable Specialist with bi-weekly provider billing.
• Identify and prepare all trends for monthly Quality Assurance meeting with Early Intervention staff and maintain communication with providers to ensure compliance.
• Create and follow up with start of care report and documentation
• Identify inactivity/gap in services and ensure documentation is as per New York City/State guidelines.
• Compare authorized mandate with provider session notes as notes are received (bi-weekly).
• Ensure that regular, missed or make up notes are submitted for each authorized service.
• Ensure that every missed session is properly documented (family driven reason or event out of provider’s control).
• Ensure that appropriate documentation is on file when gaps in services, delay in start of care and/or anticipated absence occur.
• Confirm that all therapists are entering documentation on ProviderSoft on weekly basis; contact therapists when necessary to prompt entries.
• Use internal quality assurance checklist to review all files on a quarterly basis.
• Other duties as assigned by supervisors.

Job Type: Full-time

Job Type: Full-time

Pay: From $38,000.00 per month

Benefits:

• Health insurance
• Paid time off

Schedule:

• 8 hour shift

Ability to commute/relocate:

• Flushing, NY 11354: Reliably commute or planning to relocate before starting work (Preferred)

Experience:

• ISO 9001: 1 year (Preferred)

Work Location:

• One location

Work Remotely:

• No

Work Location: One location