Patient Access Quality Assurance Specialist

Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare Access

FoCHC Fortuna Community Health Center

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.

Compensation Range:

$25.00-$28.87

This is a full time, temporary position with an expected end date of 7/1/2028

All new hires will begin at the base wage of this position. Hmong and Spanish speakers who successfully pass a language exam will receive a minimum of .75 cents added to their wage.

ESSENTIAL DUTIES AND 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.

QUALIFICATIONS AND EXPECTATIONS:

Strong interpersonal skills and the ability to establish constructive professional working relationships within a diverse workforce.
Customer service experience preferred.
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.

EDUCATION AND EXPERIENCE:

High school diploma or GED required.

CERTIFICATES, LICENSES, REGISTRATIONS: None.

SUPERVISORY RESPONSIBILITIES: None.

SUPERVISION AND SUPPORT: The Patient Access Quality Assurance Specialist reports to the Director of Patient Access and will be managed locally at Fortuna Community Health Center. The PAQAS is an integral part of the clinical operations team.

PHYSICAL REQUIREMENTS: This is largely an office-based position. The physical requirements described are representative of those needed to successfully perform the essential duties of the position. Reasonable accommodation will be made to allow otherwise qualified candidates to perform these functions.

Ability to communicate via telephone, video, and/or in-person.
Ability to read documents, computer screens, forms.
Ability to remain stationary for extended periods.
Ability to lift, carry, or otherwise move up to 25 pounds.
Ability to use keyboard and view computer screens for extended periods.
Ability to travel locally and long-distance as needed.
Ability to move around offices and clinics as needed.