Data/Claims Specialist


 

Job Purpose:

Process provider forms, claims and adjustments for early childhood nutrition programs.

Job Duties and Responsibilities:

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  • Process new and existing provider forms, claims payments and adjustments, including data entry, scanning, imaging, and ensuring accuracy.
  • Ensure databases are current and complete for all audit inquiries.
  • Process claims and related paperwork for reimbursement in compliance with federal, state, and organizational regulations.
  • Provide administrative support for department including maintaining and sorting documents, answering phones, incoming and outgoing mail, etc.
  • Provide excellent communication and customer service to providers, internal staff, vendors, and others by responding to questions and requests, including problem-solving, and/or training on departmental processes and procedures.
  • Other duties as assigned.

Job Qualifications:

  • High school diploma or equivalent
  • Three years related or similar office experience
  • Proficiency with Microsoft Office Suite, specifically Microsoft Excel
  • Aptitude for learning new software applications
  • Ability to work with diverse individuals
  • Strong technical and mathematical skills
  • Proficiency with office equipment including fax machine, copier, scanner, computer, etc.
  • Highly attentive to details; demonstrates excellent organization and time management skills
  • Ability to work both independently and within a team setting
  • Strong oral and written communication skills
  • Requires minimal supervision to complete job responsibilities
  • Shows initiative in taking on new tasks and meeting departmental goals
  • Unflappable, resilient, and positive
  • Knowledge of the Child and Adult Care Food Programs a plus.

Job Working Condition:

Typical office environment

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