Partners For Quality
Quality Assurance and Compliance Assistant
Partners For Quality, Pittsburgh, Pennsylvania, us, 15289
Overview:
ORGANIZATION:
Allegheny Childrens Initiative DEPARTMENT:
Administration POSITION:
Quality Assurance and Compliance Assistant STATUS:
Full Time; 40 hours / week SCHEDULE / HOURS:
Mondaythrough Friday; 9:00 AM to 5:00 PM LOCATION:
Pittsburgh (South Side) SALARY / WAGES:
$20 - $22/hr Allegheny Childrens Initiative, a subsidiary of Partners For Quality Inc., is a non-profit organization that provides mental and behavioral health community-based services to children, adolescents and families throughout Allegheny County. Based in Pittsburghs South Side, we provide Intensive Behavioral Health Services, Service Coordination, Student Assistance, Parent-Child Interaction Therapy, and Family Based Mental Health programs. ACI has earned certification from the Council On Accreditation. Responsibilities: Verify insurance coverage for all open consumers daily using EVS. Communicate any loss of coverage to appropriate program staff and/or program director(s). Submit insurance authorizations for consumers through Managed Care Organization, as appropriate, and ensure accurate entry of authorization information into consumer Electronic Health Record. Generate insurance authorization reports on a weekly basis to monitor and manage consumer authorizations for programs, as appropriate. Oversee record storage by organizing and placing records in storage, tracking their status, and ensuring the appropriate destruction of records when necessary. Oversee the records request process, ensuring that records requests to external parties are sent promptly, and incoming records requests, from external parties, are addressed in a timely manner. Promptly and accurately upload incoming documentation into the Electronic Health Record (EHR) system, ensuring proper categorization and tracking of specific documents for compliance and continuity of care. Oversee the distribution and upload of completed releases of information for active consumers. Collaborate with staff and families to ensure the timely completion of telehealth encounter forms and their subsequent upload to the Electronic Health Record. Complete and submit interpretation services invoices to fiscal within two business days of receipt. Assist programs with consumer discharges by ensuring that documentation and all appropriate paperwork is completed, documented, and disseminated as needed. Manage the FSS request process by collaborating with program leadership and fiscal department to secure funding for requested purchases. Serve as the primary point of contact for the Tickets for Kids program, managing communications and coordination between the organization and staff to ensure efficient ticket distribution and program participation Assist with the collection, tracking, and reporting of data as outlined in the agencys Performance and Quality Improvement initiatives. Assist with the quarterly record review process by randomly selecting records for review, notifying program directors, and compiling the data once the reviews are completed. Collaborate with the fiscal department and program directors to address issues related to billable services. Ensure strict compliance with all personnel and departmental policies and procedures, regulatory requirements, payor requirements, and Council on Accreditation (COA) Standards. Perform additional duties as required by the Executive Director and/or Director of Quality Assurance and Compliance. BENEFITS Full Time employees enjoy a comprehensive benefits package: Health, Dental and Vision Insurances $1,200 cash payout option in lieu of Health Insurance coverage Healthcare Flexible Spending Account Dependent Care Flexible Spending Account 16 to 26 Paid Days Off / year Wellness Days (2 per year) Sick Time 8 Paid Holidays Short Term Disability Long Term Disability Life Insurance Optional 401(k) with Employer match WORK PERKS Paid orientation and training Free parking (select locations) Employee Activities, Rewards and Recognition Programs Comprehensive Employee Assistance Program APPLY TO THIS POSITION Interested applicants can choose to apply in any of the following ways: Complete an employment application online Email resumes:Careers@ Partners For Quality and its family of agencies are an equal opportunity employer EOE Qualifications: Bachelors Degree Minimum of two (2) years administrative responsibilities in healthcare/behavioral health. Excellent communication skills Excellent computer skills Electronic Health Record experience Valid Drivers License Use of personal vehicle required Act 33 / 34 and FBI clearances required
Minimum Compensation: USD $20.00/Hr.
Maximum Compensation: USD $22.00/Hr.
ORGANIZATION:
Allegheny Childrens Initiative DEPARTMENT:
Administration POSITION:
Quality Assurance and Compliance Assistant STATUS:
Full Time; 40 hours / week SCHEDULE / HOURS:
Mondaythrough Friday; 9:00 AM to 5:00 PM LOCATION:
Pittsburgh (South Side) SALARY / WAGES:
$20 - $22/hr Allegheny Childrens Initiative, a subsidiary of Partners For Quality Inc., is a non-profit organization that provides mental and behavioral health community-based services to children, adolescents and families throughout Allegheny County. Based in Pittsburghs South Side, we provide Intensive Behavioral Health Services, Service Coordination, Student Assistance, Parent-Child Interaction Therapy, and Family Based Mental Health programs. ACI has earned certification from the Council On Accreditation. Responsibilities: Verify insurance coverage for all open consumers daily using EVS. Communicate any loss of coverage to appropriate program staff and/or program director(s). Submit insurance authorizations for consumers through Managed Care Organization, as appropriate, and ensure accurate entry of authorization information into consumer Electronic Health Record. Generate insurance authorization reports on a weekly basis to monitor and manage consumer authorizations for programs, as appropriate. Oversee record storage by organizing and placing records in storage, tracking their status, and ensuring the appropriate destruction of records when necessary. Oversee the records request process, ensuring that records requests to external parties are sent promptly, and incoming records requests, from external parties, are addressed in a timely manner. Promptly and accurately upload incoming documentation into the Electronic Health Record (EHR) system, ensuring proper categorization and tracking of specific documents for compliance and continuity of care. Oversee the distribution and upload of completed releases of information for active consumers. Collaborate with staff and families to ensure the timely completion of telehealth encounter forms and their subsequent upload to the Electronic Health Record. Complete and submit interpretation services invoices to fiscal within two business days of receipt. Assist programs with consumer discharges by ensuring that documentation and all appropriate paperwork is completed, documented, and disseminated as needed. Manage the FSS request process by collaborating with program leadership and fiscal department to secure funding for requested purchases. Serve as the primary point of contact for the Tickets for Kids program, managing communications and coordination between the organization and staff to ensure efficient ticket distribution and program participation Assist with the collection, tracking, and reporting of data as outlined in the agencys Performance and Quality Improvement initiatives. Assist with the quarterly record review process by randomly selecting records for review, notifying program directors, and compiling the data once the reviews are completed. Collaborate with the fiscal department and program directors to address issues related to billable services. Ensure strict compliance with all personnel and departmental policies and procedures, regulatory requirements, payor requirements, and Council on Accreditation (COA) Standards. Perform additional duties as required by the Executive Director and/or Director of Quality Assurance and Compliance. BENEFITS Full Time employees enjoy a comprehensive benefits package: Health, Dental and Vision Insurances $1,200 cash payout option in lieu of Health Insurance coverage Healthcare Flexible Spending Account Dependent Care Flexible Spending Account 16 to 26 Paid Days Off / year Wellness Days (2 per year) Sick Time 8 Paid Holidays Short Term Disability Long Term Disability Life Insurance Optional 401(k) with Employer match WORK PERKS Paid orientation and training Free parking (select locations) Employee Activities, Rewards and Recognition Programs Comprehensive Employee Assistance Program APPLY TO THIS POSITION Interested applicants can choose to apply in any of the following ways: Complete an employment application online Email resumes:Careers@ Partners For Quality and its family of agencies are an equal opportunity employer EOE Qualifications: Bachelors Degree Minimum of two (2) years administrative responsibilities in healthcare/behavioral health. Excellent communication skills Excellent computer skills Electronic Health Record experience Valid Drivers License Use of personal vehicle required Act 33 / 34 and FBI clearances required
Minimum Compensation: USD $20.00/Hr.
Maximum Compensation: USD $22.00/Hr.