MEDICAID ACCURACY ASSISTANT/DATA ENTRY

THE ARC OF SOUTHWEST GEORGIA

JOB DESCRIPTION
MEDICAID ACCURACY ASSISTANT / DATA ENTRY

JOB SUMMARY:

This full-time position is responsible for entering data into Therap and reviewing Medicaid billing services. The individual will review all Medicaid billable services (weekly and bi-weekly) and enter all non-waiver individual services on a weekly basis.

The review process includes ensuring documentation is person-centered and contains sufficient information to meet Medicaid billing standards. Confidentiality of all individual information must be maintained at all times.

Non-Exempt Position

DUTIES AND RESPONSIBILITIES:

• Ensure all documentation meets Medicaid regulations and is billable on a daily basis
• Set up, maintain, and troubleshoot communication with the identified transit/transport system
• Ensure Medicaid billing accuracy for all waiver and non-waiver individuals through Therap on a weekly basis
• Conduct and track monthly drills for the center
• Send written and Brightwell communications to staff and families
• Produce weekly and monthly reports identifying billable and non-billable services
• Conduct monthly inventory counts for SMS supplies and report low stock to Compliance
• Provide explanations for services that are not billed
• Schedule and maintain CAI services, including written schedules and ensuring documentation is complete and billable
• Transport individuals using an agency van as needed
• Perform other duties as assigned

Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

QUALIFICATIONS:

Required:

• High school diploma or GED equivalent
• Strong computer skills (proficient in Microsoft Office Suite)
• Strong math skills
• Knowledge of Medicaid billing
• Minimum of 2 years of experience working with electronic database systems
• Ability to operate standard office equipment (e.g., calculators, fax machines)
• Professional demeanor and ability to work well with others

OTHER KNOWLEDGE AND ABILITIES:

• Maintain and troubleshoot communication with transit/transport systems
• Ensure completion of monthly drills
• Monitor inventory and report supply needs
• Communicate effectively with staff and families
• Provide transportation as needed
• Support CAI service scheduling and documentation compliance
• Assist with direct support duties when needed, including care, outings, and documentation

The individual must demonstrate a caring and patient attitude and maintain a working knowledge of The Arc of Southwest Georgia’s mission, vision, programs, and services, as well as its accreditation standards.

TYPICAL WORKING CONDITIONS:

Work is performed in an office environment designed to support efficiency and productivity. Travel is minimal and limited to training or staff development.

JOB RELATIONSHIPS:

• Reports to the Center Program Manager
• No supervisory responsibilities

The duties listed above are examples of the types of work performed. Additional duties may be assigned as needed.

This job description does not constitute an employment agreement and may be modified based on organizational needs.