Data Entry Clerk (Family Planning Program)
- Enters customer and account data by inputting alphabetic and numeric information on keyboard or optical scanner according to screen format.
- Maintains data entry requirements by following data program techniques and procedures
- Receives, reviews, and prioritizes correspondence.
- Participates in educational and promotional activities as requested.
- Compiles, copy, and completes data for administrative reports, and other documents.
- Develops, maintains, and updates the department's filing system.
- Keeps moderately complex records, to assemble and organize data, and prepares reports from such records.
- Reviews and electronically transmits claims, closes the day, compiles and prints daily reports.
- Maintains a log of all electronically and hardcopy (paper) filed claims.
- Responsible for downloading and printing Remittance and Status Reports or EOBs.
- Posts payments for all claims to patient's account as per R&S or EOB.
- Runs receipts report to verify that all payments are posted by site and that the check amount reconciles with the computer total.
- Reviews, corrects and appeals rejected claims and answers any associated correspondence from the claim processing.
- Researches and resolves outstanding claims and payment issues for billing and resubmits claims accordingly or initiating the appeal process if needed.
- Investigates all denied claims by rejection code and acts accordingly in coordination with/and under the direct supervision of the Business Office Manager, if applicable, to file appeals on rejected claims.
- Ability to view clinical data to fulfill responsibilities.
- Responsible to generate monthly reports for all payments received from services rendered by Center providers.
- Maintains customer confidence and protects operations by keeping information confidential, and adheres to HIPAA Regulations.
- Adheres to agency policy, procedures and the professional code of ethics.
- Maintains operations by following program policies and procedures.
- Contributes to team effort by accomplishing related results as needed.
- Participate in regular staff meetings, staff training programs, supervisory sessions, and accept the responsibility for aiding the development of positive team relationships as requested.
- Performs other duties as assigned.
- Computer knowledge in (graphs, charts, spreadsheets, etc.).
- Knowledge in office management.
- Must possess basic knowledge of compliance and HIPAA.
- Ability to interpret, understand and carry out instructions and orders.
- Ability to accept supervision and direction.
- Ability to work effectively and professionally in a fast-paced environment.
- Knowledge of and ability to work and engage with the uninsured, under-served and under-represented populations.
- Graduate from an accredited high school or GED graduate.
- Two years technical/vocational school in Business Administration or two years' experience in this field preferred.
- Bilingual in English and Spanish preferred.
- Possess means of transportation.
- Valid Texas Driver's License and minimum liability insurance.
- Enters customer and account data by inputting alphabetic and numeric information on keyboard or optical scanner according to screen format.
- Maintains data entry requirements by following data program techniques and procedures
- Receives, reviews, and prioritizes correspondence.
- Participates in educational and promotional activities as requested.
- Compiles, copy, and completes data for administrative reports, and other documents.
- Develops, maintains, and updates the department's filing system.
- Keeps moderately complex records, to assemble and organize data, and prepares reports from such records.
- Reviews and electronically transmits claims, closes the day, compiles and prints daily reports.
- Maintains a log of all electronically and hardcopy (paper) filed claims.
- Responsible for downloading and printing Remittance and Status Reports or EOBs.
- Posts payments for all claims to patient's account as per R&S or EOB.
- Runs receipts report to verify that all payments are posted by site and that the check amount reconciles with the computer total.
- Reviews, corrects and appeals rejected claims and answers any associated correspondence from the claim processing.
- Researches and resolves outstanding claims and payment issues for billing and resubmits claims accordingly or initiating the appeal process if needed.
- Investigates all denied claims by rejection code and acts accordingly in coordination with/and under the direct supervision of the Business Office Manager, if applicable, to file appeals on rejected claims.
- Ability to view clinical data to fulfill responsibilities.
- Responsible to generate monthly reports for all payments received from services rendered by Center providers.
- Maintains customer confidence and protects operations by keeping information confidential, and adheres to HIPAA Regulations.
- Adheres to agency policy, procedures and the professional code of ethics.
- Maintains operations by following program policies and procedures.
- Contributes to team effort by accomplishing related results as needed.
- Participate in regular staff meetings, staff training programs, supervisory sessions, and accept the responsibility for aiding the development of positive team relationships as requested.
- Performs other duties as assigned.
- Computer knowledge in (graphs, charts, spreadsheets, etc.).
- Knowledge in office management.
- Must possess basic knowledge of compliance and HIPAA.
- Ability to interpret, understand and carry out instructions and orders.
- Ability to accept supervision and direction.
- Ability to work effectively and professionally in a fast-paced environment.
- Knowledge of and ability to work and engage with the uninsured, under-served and under-represented populations.
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