Job Description
Position Summary:
Assists in verifying and ensuring review of service documentation to guard against fraud and abuse. Performs necessary tasks to maintain computerized records, ensuring completeness and accuracy. Ensures that agency service documentation is verified and forwarded to billing and claims department for processing.
This is a part-time position 27.5 hours per week. Schedule will be as follows:
Monday: 8:30am- 4:30pm Tuesday- Friday 9am- 2pm
Duties and Responsibilities:
Verify and process fee-for-service documentation, including review of service documentation to guard against fraud and abuse
Manage and organize the storage and filing of active and discharged client files, service referrals and PMHCC CM service requests
Assist Director/QA Officer and Auditing Staff in compliance/chart reviews
Provide monthly review and analysis of service documentation records to PMHCC CM Director/QA Officer
Coordinate and assist in the completion of special projects as directed by supervisor
Attend departmental meetings as required
Operate agency equipment including copier, fax machine, scanner
Participate in in-service or other training as deemed appropriate by supervisor
Assist in conducting satisfaction surveys that promotes valuable customer service
Skills Required:
Must possess good verbal and written communication skills, be computer literate, including a working knowledge of word processing and spread sheets, must be able to work in a team environment and independently and be flexible and adaptive in handling changing priorities in the work environment; must be highly organized. Pay attention to detail and maintain a high level of accuracy; and excellent time management skills.
Physical Demands: Ability to sit for at least one (1) hour at a time. Able to carry up to 2OIbs in handling office supplies. etc.
Education and Experience:
High School diploma or equivalency, with three (3) years of clerical/data entry experience, including typing and word processing.
Equal Opportunity Employment:
PMHCC, Inc. is committed to equal opportunity. It is our policy to support equal employment for all employees and applicants without regard to race, religion, color, sex, sexual preferences, age, national origin, disability, behavioral health status, military status or any other characteristic protected by law.
Americans with Disabilities Act:
Employees as well as applicants who are currently, or become disabled, must be able to perform the functions of the job with either reasonable accommodation or unaided. PMHCC, Inc. will examine reasonable accommodations on a case by case basis in accordance with the law.
Part-time