(CDPAS) Program MCO Quality Assurance Specialist

EXTERNAL POSTING

TITLE:  (CDPAS) Program MCO Quality Assurance Specialist

DESCRIPTION:  Responsible for monitoring and corrective action within the CDPAS accounts receivable ledger. Ensures that billing has been done accurately and completed timely.

DUTIES:

  1. Monitor the CDPAS MCO receivables to discover any errors, missed billings, or other discrepancies that would place the receipt of funding in jeopardy.
  2. Contact Manage Care Organizations (MCOs) regarding discrepancies in authorized units for the consumer.
  3. Follow-up on all rejected billings from the MCO’s.
  4. Complete MCO administrative reviews when necessary to overturn rejected billings from the funding source.
  5. Bill for CDPAS services using approved software.
  6. Participate in maintaining a neat, clean and safe work environment.
  7. Perform any other duties as deemed legally and ethically necessary by the supervisor.

SUPERVISION:  Works under the direct supervision of the Chief Financial Officer (CFO).

STANDARDS OF PERFORMANCE:  Must at all times perform in a professional, conscientious, and efficient manner for the purpose of ensuring a better quality of life for persons with disabilities.

QUALIFICATIONS:  High School Diploma or equivalent with a minimum of six months (6) experience in basic bookkeeping and/or clerical skills. Must be able to read and verbalize printed materials, work on a computer.

Western New York Independent Living, Inc. is an Equal Opportunity Employer.

Reasonable accommodations will be made for people with disabilities.

Western New York Independent Living, Inc. is a Scent-Free Agency.

SALARY RANGE:  $30,960 to $32,960

CLOSING DATE:  October 5, 2020

COVER LETTER AND RESUME TO:

Tina Brown, CHRCO
WNY Independent Living, Inc.
3108 Main St.
Buffalo, NY 14214
employment@wnyil.org