Quality Assurance Monitor
(Full-Time)
Job Summary:
Under general supervision, performs monitoring of case files and records pertaining to Child Care Services and serves as a back-up to Appeals and Fraud representative. This position is grant funded. Continuation of position is contingent upon the availability of grant funds.
Regular attendance at Employer's place of business and/or during particular hours, as assigned, is an essential function of this position. Employee must comply with and follow YWCA’s attendance policy at all times, unless a reasonable accommodation is requested and granted, as required by law.
Monitors, monthly payment information, new provider contracts, provider amendments, state reports, and data entry to ensure complete and accurate data is on file for each child billed and ensure data on file is correct for all contracted providers.
Ensures all vendors (providers) are monitored 100% for correct documents, application completeness, data entry, and proper filing.
Ensures vendors (providers) payments are monitored for correct rates according to referral types and state max rates. Monitors all files are stored correctly in cabinets for audit purposes.
May conduct training on The Workforce Information System of Texas (TWIST) or Texas Child Care Connection (TX3C) to include the data entry process.
Maintains database or system management of all files monitored. Updates the system by the 5th of each month for reporting purposes to WSB.
Tracks correction of all identified errors and reports non-compliance with CCS procedures related to corrections to CCS Administrator and supervisor.
Provides input in the development of local operating procedures.
Communicates with supervisor or associate administrator on contract, data entry, or payment errors uncovered through the monitoring process.
Process assigned TWC reports.
Tabulates results of provider services surveys or other survey documents as assigned.
May coordinate and prepare documentation for internal or external audits.
Assures confidentiality and security for all electronic and paper records within Payment Management Services Quality Assurance Department.
Participates in informational events as assigned.
Job Qualifications:
Associate’s degree or 60 credit hours college level course work preferred. Directly related experience may be substituted for college level course work, 1 year of direct experience may substitute 30 credit hours of college level course work and 2 years of direct experience may substitute 60 credit hours.
Two (2) years’ experience in client service field or contract administration or related field.
Must have excellent verbal and written communication skills.
Bilingual capabilities in English/Spanish preferred.
Must be well organized, analytical and have numerical skills.
Must be able to operate a personal computer and have skills in MS Office software.
May be required to have access to a vehicle and possess a valid driver’s license and sufficient liability insurance.
Anticipated Benefits:
YWCA Membership and Program Discounts
Basic Life Insurance
Medical, Dental, Vision and Retirement