DESCRIPTION:
Provides administrative and data entry support for the Breast and Cervical Cancer Services (BCCS) program. This role is responsible for entering and maintaining accurate client and billing data, processing claims, posting payments, and assisting with reporting and documentation. The Data Entry Clerk ensures compliance with program procedures and agency policies, contributing to the efficient operation of the department.
SUPERVISION:
Directly supervised by Director of Grants and Program Development.
TYPICAL PHYSICAL DEMANDS:
Requires prolonged sitting, stooping, and bending; Occasional standing; Must be able to lift/carry up to 25 pounds. Frequent use of office equipment such as; computer, telephone, calculator, scanner and copier.
ESSENTIAL FUNCTIONS:
Enter client and account data using keyboard or scanner in accordance with program formats
Maintain data entry protocols and procedures to ensure accuracy and consistency
Review, sort, and prioritize incoming correspondence
Compile, copy, and organize data for administrative and billing reports
Develop and maintain an organized filing system (electronic and paper)
Prepare and transmit electronic claims; close daily batches and generate reports
Maintain logs of all submitted claims (electronic and paper)
Download and print Remittance & Status (R&S) Reports and Explanation of Benefits (EOBs)
Post payments to client accounts based on R&S/EOBs
Run and reconcile daily receipts report to verify posted payments
Review and correct rejected or denied claims; file appeals as necessary
Investigate outstanding claims and take appropriate follow-up action
View clinical data as necessary to complete billing and documentation tasks
Generate monthly payment and service reports for BCCS program activities
Maintain confidentiality in accordance with HIPAA regulations
Adhere to all program policies, agency procedures, and professional ethics
Participate in staff meetings, trainings, and team-building activities
Perform other duties as assigned
MINIMUM QUALIFICATIONS:
Graduate from an accredited high school or GED graduate.
Two years technical/vocational school in Business Administration or two years' experience in this field
Bilingual in English and Spanish preferred.
Possess means of transportation.
Valid Texas Driver's License and minimum liability insurance.
KNOWLEDGE, SKILLS AND ABILITIES:
Proficiency in computer applications, including spreadsheets, charts, and data entry software
Basic knowledge of HIPAA and healthcare compliance regulations
Strong organizational and office management skills
Ability to follow verbal and written instructions accurately
Ability to work under supervision and within a team environment
Professional demeanor and ability to function effectively in a fast-paced setting
Experience working with underserved, uninsured, or underrepresented populations preferred
HUMAN RIGHTS:
Gateway Community Health Center, Inc. does not discriminate regardless of race, color, marital status, religion, sex, national origin, ancestry, physical or mental handicap or disability, age Vietnam era veteran status, or other grounds as applicable federal, state and local laws or regulations.
Provides administrative and data entry support for the Breast and Cervical Cancer Services (BCCS) program. This role is responsible for entering and maintaining accurate client and billing data, processing claims, posting payments, and assisting with reporting and documentation. The Data Entry Clerk ensures compliance with program procedures and agency policies, contributing to the efficient operation of the department.
SUPERVISION:
Directly supervised by Director of Grants and Program Development.
TYPICAL PHYSICAL DEMANDS:
Requires prolonged sitting, stooping, and bending; Occasional standing; Must be able to lift/carry up to 25 pounds. Frequent use of office equipment such as; computer, telephone, calculator, scanner and copier.
ESSENTIAL FUNCTIONS:
Enter client and account data using keyboard or scanner in accordance with program formats
Maintain data entry protocols and procedures to ensure accuracy and consistency
Review, sort, and prioritize incoming correspondence
Compile, copy, and organize data for administrative and billing reports
Develop and maintain an organized filing system (electronic and paper)
Prepare and transmit electronic claims; close daily batches and generate reports
Maintain logs of all submitted claims (electronic and paper)
Download and print Remittance & Status (R&S) Reports and Explanation of Benefits (EOBs)
Post payments to client accounts based on R&S/EOBs
Run and reconcile daily receipts report to verify posted payments
Review and correct rejected or denied claims; file appeals as necessary
Investigate outstanding claims and take appropriate follow-up action
View clinical data as necessary to complete billing and documentation tasks
Generate monthly payment and service reports for BCCS program activities
Maintain confidentiality in accordance with HIPAA regulations
Adhere to all program policies, agency procedures, and professional ethics
Participate in staff meetings, trainings, and team-building activities
Perform other duties as assigned
MINIMUM QUALIFICATIONS:
Graduate from an accredited high school or GED graduate.
Two years technical/vocational school in Business Administration or two years' experience in this field
Bilingual in English and Spanish preferred.
Possess means of transportation.
Valid Texas Driver's License and minimum liability insurance.
KNOWLEDGE, SKILLS AND ABILITIES:
Proficiency in computer applications, including spreadsheets, charts, and data entry software
Basic knowledge of HIPAA and healthcare compliance regulations
Strong organizational and office management skills
Ability to follow verbal and written instructions accurately
Ability to work under supervision and within a team environment
Professional demeanor and ability to function effectively in a fast-paced setting
Experience working with underserved, uninsured, or underrepresented populations preferred
HUMAN RIGHTS:
Gateway Community Health Center, Inc. does not discriminate regardless of race, color, marital status, religion, sex, national origin, ancestry, physical or mental handicap or disability, age Vietnam era veteran status, or other grounds as applicable federal, state and local laws or regulations.