POSITION SUMMARY:
Under
general supervision, performs moderately complex clerical work involving Medicaid
billing system; data entry and verification of Medicaid reimbursement student
data; and assists the Medicaid Technology Specialist with data preparation and
coding. Maintains user data within the
Medicaid billing system. Assigned work
is carried out independently. The supervisor provides specific instructions
only for nonrecurring work assignments, deviations from normal or prior
approved procedures, and new or revised procedures. After familiarization with
the procedures, methods and reports used in the Medicaid Office, the Data
Processing Control Clerk is expected to exercise judgment in maintaining
routine work flow.
DUTIES and RESPONSIBILITIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Maintains student data in the Medicaid
billing system, primarily updating student profiles with case management forms,
parental consent forms, and student healthcare prescriptions;
Maintains user data in the Medicaid
billing system, primarily updating user profiles with school access, user role
and license or certification;
Assists with credentialing of health
professionals to comply with Federal and State regulations;
Compiles, sorts, and verifies accuracy
of data to be entered;
Independently controls input-output
source data in connection with the automatic data processing operation,
including organizing computer workloads;
Contacts Case Mangers and providers of
source documents to resolve questions, inconsistencies or missing data;
Performs coding and data entry in the
billing system software of confidential student information, including but not
limited to student transportation and nursing services;
Maintains data entry, logs and makes
necessary corrections to information entered;
Updates computer information
continuously to ensure accurate and up‐to‐date records;
Assists Medicaid Analyst with the
Medicaid quality assurance program, as needed;
Assists the Technology Specialist in
data preparation, coding and other duties as needed;
Assists in establishing and maintaining
an effective and efficient records management system;
Contributes to a team effort and
accomplishes related results as required;
Maintains strictest confidentiality in
adherence to HIPPA and FERPA regulations;
Distributes Medicaid billing performance
and status reports to schools and office;
Performs general clerical duties such as
filing, answering phones, etc.; and
Perform other duties as assigned.
QUALIFICATIONS:The requirements listed below are representative of the knowledge, skill, and/or ability required.
Four years or more data experience
in health and/or education fields;
Customer service experience,
preferably in a school system;
Superior computer knowledge,
including proficiency in Microsoft Excel and Access; and
Ability to deal effectively and
courteously with a diverse population including parents, school personnel and
the community.
EDUCATION and/or EXPERIENCE REQUIREMENTS:
High
School Diploma required, plus four or more years of data experience in health
and/or education fields.
CERTIFICATION REQUIREMENTS:
None Required.
SUPERVISORY RESPONSIBILITIES:
No direct supervisory responsibilities.
PHYSICAL DEMANDS:
The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand, talk, hear, walk, sit, and use fingers, tools or controls. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision such as to read handwritten or typed material, the ability to adjust focus, and depth perception. While performing the duties of this job, the employee may occasionally push or lift up to 25 lbs.
WORKING ENVIRONMENT:
The work environment characteristics are representative of those an employee encounters while performing the essential functions of the job.
ADDITIONAL INFORMATION:
None.