Intake Quality Assurance Specialist

JOB DESCRIPTION

Position: Intake Quality Assurance Specialist

Salary: $25.00-30.00 per hr

Reporting To: FMS Billing Supervisor

Work Type: Remote (Must be based in California)

POSITION SUMMARY

The Intake Quality Assurance Specialist is responsible for overseeing the intake process of new referrals and authorizations and ensures that all documentation and procedures meet internal and external compliance standards This role combines administrative and quality assurance responsibilities to support efficient onboarding and high-quality service delivery. The position is intended for those who can handle fast-paced environments while producing quality work

QUALIFICATIONS

• 1-2 years experience in a lead or supervisory position preferred.

• Bilingual English and Spanish preferred.

• Excellent customer service and communication/phone skills

• Strong organizational prioritizing and analytical skills.

• Attention to detail and accuracy in data entry and documentation.

• Ability to work with substantial amounts of data and make correct judgments.

• Ability to multi-task and prioritize needs to meet required timelines.

• Proficiency with Word Excel and Outlook (or similar e-mail software applications).

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Manage the intake process for new clients including gathering initial information assigning customer service representatives and ensuring proper setup of authorization and budgets.

• Respond promptly to inquiries from prospective clients.

• Conduct routine chart audits to ensure compliance with organizational policies and regional center standards.

• Review documentation for completeness accuracy and timely submission.

• Process review track referrals and authorizations.

• Maintain input update research and analyze patient account activity to maintain accuracy.

• Audit patient accounts to identify missing information follow up as needed and make necessary corrections.

• Keep up regular attendance and punctuality are essential for the smooth operation of this company.

• Collaborate closely with regional center case managers to ensure proper documentation is in place.

• Prepare reports as needed for census tracking and reconciliation of authorizations.

• Perform audits to verify documentation and identify opportunities for process improvement.

• Work with other team members to identify discrepancies in processes and procedures while seeking opportunities for growth and improvement within the department.

• Performs other duties as assigned.

PHYSICAL REQUIREMENTS:

• Stand sit talk hear reach stoop kneel and use of hands and fingers to operate computer telephone and keyboard on a frequent basis (up to 75% of the time).

• Close vision requirements due to computer work.

• Light to moderate lifting may be required (up to 25lbs).