Patient Access Quality Assurance Specialist

Open Door Community Health Centers•Fortuna, CA

14d•$25 - $29•Hybrid

About The Position

The Patient Access Quality Assurance Specialist is responsible for the accurate entry and auditing of SFDS (Sliding Fee Discount Schedule) forms. This role is also responsible for scanning documents and managing Epic work queues, including both current and upcoming queues, researching SFDS Questions, responding to Front Office and Call Center Inquiries regarding SFDS policies and procedures, managing Epic work queues and providing feedback to leadership on clinic and department accuracy and performance.

Requirements

Strong interpersonal skills and the ability to establish constructive professional working relationships within a diverse workforce.
Ability to work as a member of a team and independently as needed.
Ability to maintain order entry accuracy of 98% or better.
Ability to handle difficult or confrontational situations in a calm, consistent, and equitable manner.
Ability to write routine reports and correspondence.
Ability to manage multiple tasks accurately and efficiently.
Ability to convey complex concepts in a clear, concise, and logical manner to a variety of audiences.
Ability to effectively represent ODCHC’s interests in the community and maintain effective working relationships among co-workers, public, private, and professional groups.
Strong computer skills with specific aptitude in Microsoft Office Suite and/or Electronic Medical Records (EMR).
Adheres to ODCHC’s policies and procedures.
High school diploma or GED required.

Nice To Haves

Customer service experience preferred.
Hmong and Spanish speakers who successfully pass a language exam will receive a minimum of .75 cents added to their wage.

Responsibilities

Retrieve SFDS scans from various health center sites.
Compare the SFDS scans to the entries in Epic to ensure they match.
If discrepancies are identified, correct the entries immediately.
If questions arise, contact the submitting clinic promptly for clarification or correction.
If changes affect billing, notify the billing department for correction.
Scan and enter information into additional household member MRNs, and ensure all guarantors are appropriately connected across Medical, Dental, and Behavioral Health.
When paper forms are forwarded, file them alphabetically by the patient's last name.
Learn, understand, apply, and help educate peers, front desk staff, and office managers on SFDS and HRSA requirements.
Review prior SFDS form scans and compare the forms to entries to ensure the information matches.
If information does not match, correct the entries.
Patient contact may be required to confirm certain entries.
Notify the billing department of any past billing that may need correction.
Ensure all information is scanned and entered all applicable MRNs and that guarantors are correctly identified.
Enter data into the SFDS audit tool to track clinic accuracy and share reporting results with Clinic Front Office Managers and the Director of Patient Access.
Manage Epic work queues as directed.
Respond to questions from ODCHC Front office regarding SFDS.
Maintain a database of Questions and Answers for SFDS.
May be trained to further assist the front desk with front desk duties as assigned, including answering phones, checking in patients, and confirming appointments.
May be requested to travel to clinics within a reasonable distance.
Performs specialized duties, projects and other duties as identified and assigned by supervisor.