Quality Assurance Specialist -ECM (Los Angeles)

What You Will do:

• Regularly review ECM student files to ensure compliance with auditing standards set by local, state, and federal funding regulations.
• Collect, enter, and manage program data, ensuring accuracy and integrity of student records.
• Generate reports and submit data as required to support program evaluation and funding requirements.
• Regularly review services in the electronic health record system for possible errors, duplications, or other issues that could cause claim denials in an effort to make the reporting for month end billing seamless and to reduce the potential of claim denials.
• Prepare reports from the electronic health record system for the timely submission of claims, working closely with the accounting department to ensure proper reimbursement for services.
• Assist in the development and implementation of quality assurance policies and procedures.
• Maintain a thorough understanding of agency systems and policies to effectively support ECM program staff and contribute to quality improvement initiatives.
• Interface with contracted Managed Care Plan (MCP) electronic systems, including for client information sharing and service claiming.
• Manage receipt of student information files (MIF) from MCPs and provide MCPs with information regarding outreach and engagement status.
• Ensure complete client charts within agency’s Electronic Health Record (EHR).
• Provide reports to program faculty from EHR regarding note timeliness, documentation completion and other metrics as determined necessary by Project Director.
• Handle all client and agency information with the highest degree of confidentiality and discretion.
• Answer phones, respond to emails, and interface with others in a professional and courteous manner.
• Perform other related duties as assigned, demonstrating flexibility and a willingness to contribute to the team in a dynamic work environment.
• Attend workshops, meetings, and trainings as requested by supervisor.
• Performs other related duties as assigned.

What you will do:

• Excellent organizational skills and attention to detail.
• Ability to foster teamwork and cohesiveness.
• Excellent written and verbal communication skills.
• Extensive knowledge of office management systems and procedures.
• Ability to maintain confidential information.
• Ability to operate general office equipment.
• Proficient in Microsoft Office Suite or similar software.

What We Bring:

• Medical, Dental, Vision.
• Paid vacation, sick time, & holidays.
• 401K, HSA, & Life insurance programs.
• Organization committed to community action.
• Community oriented workplace.