Overview
Specialist, Quality Compliance (Label) Jobs in Torrance, CA at Herbalife
Quality Assurance (QA) Reviewer II
This position will be located at our Administration Office in Dothan, AL
Monday – Friday 8am – 5pm
Alabama State Retirement
Responsibilities:
Maintains files on:
Clinical policies and procedures for Mentally Ill, Developmental Disabilities and Substance Abuse Divisions.
Medicaid regulations and requirements.
Medicare regulations and requirements.
Department of Mental Health regulations and requirements.
Any other relevant funding or compliance agency regulations and requirements.
Performs routine reviews checking for compliance to Department of Mental Health, Medicaid, Medicare and applicable billing requirements for:
New employees within six (6) months of hire.
Terminated, resigning or transferring therapists.
Minimum of 10 % of clinician’s caseload annually (preferably 3% – 5% quarterly).
Income verification and reimbursement source versus printout.
Performs audits on or by:
Medicaid review of charts
Medicare/Other Insurance
Self Pay Status
Clinician
Clinical aspects of services
Billing
Income verification and reimbursement source versus printout
Receipt sequence report
Follows up on deficiencies and reports trends/findings to Chief Compliance Officer.
Investigates Special Incidents as needed.
Other duties as assigned by Chief Compliance Officer.
Regular attendance with timely arrival and departure according to scheduled hours
REQUIRED QUALIFICATIONS/EDUCATION/EXPERIENCE:
Master’s degree or above from an accredited college or university in psychology, social work, counseling, or other behavioral health area with requisite course work equivalent to that of a degree in counseling, psychology, or social work.
Minimum two (2) years’ clinical experience required.
Personal computer background with familiarity and training in word processing, spreadsheets and data base management.
Valid driver’s license and good MVR.
PREFERRED QUALIFICATIONS/EDUCATION/EXPERIENCE:
At least two (2) years’ experience operating an EMR system
Four (4) or more year’s clinical experience in a mental health, business, computer science or related field.
Strong business background preferred
Benefits:
Blue Cross Blue Shield of Alabama Health and Dental Insurance
Alabama State Retirement
Paid Time Off – Annual, Sick, Personal and Comp
OnShift Wallet through Payactiv
PTO Buyback Program
Company paid life insurance
AD&D and dependent life insurance
10 Paid Holidays
Public Service Loan ForgivenessShow more
Title: Specialist, Quality Compliance (Label)
Company: Herbalife
Location: Torrance, CA
