Quality Assurance Auditor

• Responds inquiries from the public regarding enrollment, reinstatement and termination of Medical and Mental Treatment Programs; • Requesting and gathering information from clients during enrollment process. • Takes and process applications for new and return patients; • Verifies medical eligibility to determine whether deposits are required for non-active Medi-Cal or cash patients; • Provides courteous, high quality service to members of the public by personally responding to requests for service or appropriate referral. • Handling difficult complaints and/or resolving conflicts • Dealing with clients from diverse socio-economic and cultural backgrounds. • Dealing with clients who are upset, hostile, or emotionally distressed. • Observe and report client behavior to their case counselor that may put themselves or others at risk. • Monitors clients within community care facilities and report’s findings to case manager and program manager on a daily basis. • Participates in staff training and community meetings. • Makes referrals and consults with other community service providers on behalf of clients. • Checking charts of every patient (500 totals) for completeness and accuracy. • Responding to inquiries and complaints from the public regarding medical and mental health services. • Reconciles and adjusts customer accounts; • Researches and resolves billing complaints; • Performs collection efforts for delinquent accounts; • Queries and posts information to computerized records (Dosing Pro); • Explains billing and collection policies and procedures to customer. • Responsible for accounts payable, including data entry and generating checks using QuickBooks Pro. • Recorded and prepared all cash receipts for bank deposits, mon Show less