Patient Access Quality Assurance Specialist

Open Door Community Health Centers•Fortuna, CA

8d•$25 - $29•Hybrid

About The Position

FoCHC Fortuna Community Health Center is seeking a Patient Access Quality Assurance Specialist committed to removing barriers to healthcare access in the heart of the Redwoods. This role is responsible for the accurate entry and auditing of SFDS (Sliding Fee Discount Schedule) forms, scanning documents, and managing Epic work queues. The specialist will also research SFDS questions, respond to inquiries regarding SFDS policies and procedures, and provide feedback to leadership on clinic and department accuracy and performance.

Requirements

High school diploma or GED required.
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.

Nice To Haves

Customer service experience preferred.
Hmong and Spanish speakers who successfully pass a language exam will receive a minimum additional .75 hourly differential to their wage.

Responsibilities

Retrieve SFDS scans from various health center sites.
Compare SFDS scans to Epic entries for accuracy and correct discrepancies.
Contact submitting clinics for clarification or correction of SFDS information.
Notify the billing department of any changes affecting billing.
Scan and enter information into additional household member MRNs.
Ensure all guarantors are appropriately connected across Medical, Dental, and Behavioral Health.
File paper forms alphabetically by 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 them to entries for accuracy, making corrections as needed.
Contact patients to confirm certain entries if necessary.
Notify the billing department of any past billing that may need correction.
Ensure all information is scanned and entered into applicable MRNs and that guarantors are correctly identified.
Enter data into the SFDS audit tool to track clinic accuracy.
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 duties such as answering phones, checking in patients, and confirming appointments.
May be requested to travel to clinics within a reasonable distance.
Perform specialized duties, projects, and other duties as identified and assigned by supervisor.