Description

JOB DESCRIPTION – DATA SPECIALIST

SUMMARY 

By using secure network transfer protocols, the MIS Data Specialist downloads daily or weekly files to be uploaded into the billing system. The MIS Data Specialist analyzes client data submissions to ensure billing criteria are met, maintains client profiles, insurance, physicians, and fee schedule databases. Keeps load logs and policy and procedures up to date. Evaluate data sources to verify the validity of the information received. Oversee the entire process to ensure data accuracy.

PRIMARY RESPONSIBILITIES

• Acquiring, formatting, and processing demographic and charge data from outside sources (Hospitals and Clients) into the billing system.
• Analyze and verify data integrity prior to loading data into the billing system.
• Formatting of demographic and charge data.
• Work series of computer error reports identifying potential problems or missing information.
• Research data sources and make any corrections to existing data as needed to ensure the accuracy of the info being transmitted.
• Update and maintain the client databases, including but not limited to fee schedules, insurance lists, financial classes, and physician listings.
• Correspond with client outside sources (hospitals) to obtain missing demographic and charge information.
• Audit accounts prior to billing.
• Data mining.
• Maintain daily and monthly data logs.
• Other related duties, as assigned.

Requirements

KNOWLEDGE, SKILLS and EXPERIENCE REQUIREMENTS

• Knowledge of Microsoft Office, Access, Pivot Tables, Macros, data mining and spreadsheet applications.
• Ability to work both independently and as a team member.
• Detail-oriented, with an understanding of HIPAA/Security compliant billing regulations.
• Must possess a grasp of Software Development fundamentals.

REQUIRED EDUCATION: High School Diploma, college preferred

EXPERIENCE: 2 years, preferably in a medical insurance billing/follow-up environment.

This is a non-exempt position.