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.  

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. 

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.

 

High School Diploma required, plus four or more years of data experience in health and/or education fields.

 

None Required.



No direct supervisory responsibilities.



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.




The work environment characteristics are representative of those an employee encounters while performing the essential functions of the job.




None.