Assignment Length: 3-4 months
Location: Pittsfield, MA
Pay: $20/hour

Full-time: Mon – Fri, Hours are flexible from 7a-3p, 8a-4p, 9a-5p

TEC is helping fill a local non-profit temporary need. The Data Entry Clerk is responsible for data entry for multiple sites and client billing related tasks for: service authorization when applicable, data entry, claim submission and the successful realization of reimbursement.

Primary Job Functions

• Data entry functions including, but not limited to, billable and non-billable service transactions,
• Data entry of demographic and insurance policy in the billing system

Secondary Job Functions

• Communicates with assigned payers to determine verification of benefits that are applicable to the services being rendered, authorization requirements and behavioral health specific claim submission requirements
• Utilizes all applicable daily computer-generated reports to verify the completeness and accuracy of claim related data elements, including but not limited to, missing information reports, yesterday proof sheets, authorization status reports, etc
• Eligibility verification through Mass REVS, the Virtual Gateway and individual carriers when applicable
• Maintains all billing related files, records and logs when applicable
• Initiates and tracks all relevant managed care authorizations and re-authorizations when required for assigned payers
• Accounts receivable data entry and initial data element entry or corrections
• Explanation of benefit (EOB) retrieval in the event of special, global, or individual accounts receivable projects
• Performs all billing follow-through functions at designated required intervals
• Advises billing manager of individual account resolution issues or payer specific claim payment related issues
• Attends payer-specific billing related trainings as required
• Other duties as assigned by supervisor

Skills

• Demonstrated PC skills
• Computerized accounts receivable skills; strong mathematical skills
• Attention to detail
• Ability to prioritize work and apply judgment in various situations
• Ability to work independently
• Ability to ensure that task completion is in compliance with applicable laws and regulations
• Ability to multi-task and work in a fast-paced environment
• Ability to effectively and professionally communicate with all levels of internal staff members, clients and payer representatives

Qualifications

• High School diploma: 2-year degree preferred
• Proven office experience, preferably in a medical office setting