Data Entry Specialist - Sarah : Job Details

Job Type Full-time Description TITLE: Data Entry Specialist SUPERVISOR: Office Manager OBJECTIVE: Assist in the overall daily office and administrative activities to support the Children & Family Services division of Lumibility. QUALIFICATIONS:

• High school diploma/GED required
• Bachelor's degree in related field preferred
• 1-3 years of experience in office administration
• Proficiency in Microsoft Office software including Word, Outlook, and Excel and office equipment
• Must possess a valid Connecticut driver's license, have an acceptable driving history, and be able to utilize your own vehicle for Lumibility business as defined by Lumibility's policy
• Bilingual (Spanish) preferred
• Must have internet access, cell phone, private workspace, and reliable transportation
• Experience with medical billing, insurance reimbursement, and reconciliation, preferable in a clinical/medical environment preferred
• ICD/10, CPT coding experience preferred
• Knowledge of insurance/Medicaid practices preferred
• Ability to recognize challenges, inconsistencies, and strategize possible solutions
• Excellent interpersonal skills and phone interactions

HOURS OF DUTY: Non-Exempt, M-F, 40 hours/week STAFF ASSIGNED: None ESSENTIAL JOB FUNCTIONS:

• Enter case related data into state database system
• Obtaining service authorizations and reports from community medical providers
• Process authorizations for program to release case information
• Update job knowledge by participating in educational opportunities and keeping current on state contract, insurance billing and reimbursement procedures.
• Adhere to company standards and federal and state legislative requirements and procedures
• Work with Office Manager and independently to generate and maintain procedures related to the Data Entry Specialist position
• Maintain communication with other departments to promote positive working relationships and open communication
• Develop processes to address systems (embed resources and procedure changes into office procedures, create day-to-day task priority list, determine needed changes to current procedures, create checklists for checks and balances, and revise as needed)
• Provide administrative support in adherence with federal/state regulations and procedures
• Other tasks as assigned
• Contribute during meetings and training sessions
• Performs other duties as assigned.
• If bilingual, provides interpretation for families during phone conversations and verifies translated documents as needed.

Requirements KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge of medical billing and insurance reimbursement
• Knowledge of medical coding preferred
• Knowledge of company policies and procedures and applicable regulatory requirements and standards
• Skill in data entry, analyzing information, documentation and reporting
• Skill in planning, organizing, attention to detail and work in a fast-paced environment
• Skill in problem solving and decision making
• Skill in operating standard office equipment, computer and various software packages
• Skill in communicating effectively in a courteous and professional manner
• Skill in writing clearly and concisely to maintain accurate records
• Ability to read and understand policies and regulations and to translate general guidelines into specific action
• Possess critical thinking skills
• Ability to demonstrate good communication and interpersonal skills necessary to provide guidance and instruction to families
• Ability to work successfully, both independently and in a team environment
• Ability to maintain confidentiality
• Ability to maintain a patient and positive attitude
• Ability to drive/travel to varying locations as needed
• Ability to identify and prioritize daily tasks depending on timelines related to daily workflow
• Skill in planning, implementation, self-monitoring and organization
• Skill in effective problem-solving and decision making
• Ability to stay current with changing technology trends
• Ability to work flexible hours and travel as needed

This job description does not preclude the performance of other similar related duties as assigned by the supervisor or his/her designee. REQUIRED PHYSICAL EFFORT: Must be able to sit, stand and walk at an assigned location(s) and work for extended periods of time; bend/stoop, kneel and balance frequently; climb, reach above shoulder level; push/pull, squat and crouch occasionally; with assistance, lift, carry and position individuals of various weight. Must be able to lift and carry up to 50 pounds occasionally. Must be able to drive for extended periods throughout the day. Lumibility's offices, facilities, grounds and vehicles are smoke-free environments.