Data Entry Specialist

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