Job Description

JOB SUMMARY:
The main purpose of this position is to provide general administrative support with data entry, sorting, batching, and logging requests resulting from request submitted from providers for payment. Staff must have knowledge and experience performing diverse clerical duties which support agency operations that require the data entry, review, verification and interpretation of information to provide administrative support and assist with resolving problems in accordance with policies, regulations and laws applicable to agency programs.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Provide data entry of claims into the Medicaid Management Information System (MMIS-II) at a rate of five (5) batches per day with no more than 10-15 errors per week.
• Review batches for accuracy and make corrections for any errors found.
• Communicate effectively and maintain working relationships with managers and colleagues.
• Sort and cut open all mail according to service type (HCFA 1500, UB-04, etc)
• Scan invoices for provider information and signature. Review, count, and batch claims according to their service type and fill in the proper information on the batch control sheet. Forward the completed batches to the assigned area to have a batch number assigned and microfilmed.
• Review microfilmed batches and fill in proper areas on the batch control sheet.
• Key batches into the batch control database. Batches are then delivered to Data Entry to be forwarded to an outside vendor to be keyed. Some batches are sent to the exam Entry unit in-house to be keyed. Claims that are keyed in-house are keyed by the state, contractual, and temporary employees.
• Retrieve claims from storage when needed.
• Proper handling and disposition of tapes, mail, and UPS.
• Log certified mail and checks received.
• Provide customer service for the Medicaid mailroom.

EDUCATION AND/OR EXPERIENCE:

• 1 year of data entry experience
• Type 45 words per minute
• High School diploma or equivalent preferred

CERTIFICATES, LICENSES, REGISTRATIONS:

• None

QUALIFICATION REQUIREMENTS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

KNOWLEDGE, SKILLS, AND ABILITIES:

• General experience working in an office setting.
• Ability to perform repetitive motion for long periods of time

PHYSICAL REQUIREMENTS:
Must be able to lift boxes up to 35 lbs. May be required to regularly sit for extended periods of time, walk, reach with hands/arms with full range of motion. Regularly required to talk and hear

WORK ENVIRONMENT:
The noise level is usually moderate.

REPORTS TO : Manager on duty

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