Data Entry/Billing Clerk

CURA - Newark, NJ

Full-time - Entry Level

Newark, NJ

Personal and Laundry Services

About the position

The Caseworker/Data Entry/Billing Clerk position is a critical role within our organization, responsible for ensuring the smooth processing of client information and billing procedures. This position requires a detail-oriented individual who can manage multiple tasks efficiently while maintaining high standards of accuracy. The successful candidate will be involved in various administrative tasks, including checking client Medicaid status, conducting interviews, and verifying information for quality control. The role also involves processing Medicaid Presumptive Eligibility applications and securing necessary authorizations based on funding sources. Daily responsibilities include managing the NYSAMS message queue, entering authorizations into Excel and Zoobook, and submitting tickets for any issues encountered in the NJSAMS system. The Caseworker will also prepare and distribute due ERL lists, sort and distribute client correspondence, and maintain communication with program staff regarding client funding changes and discharge dates. Additionally, the position requires daily billing of clients using NJ-DAS and generating Medicaid billing in Zoobook every three days. The ideal candidate will have a strong background in data entry and billing, with experience in relevant software systems. This role is essential for ensuring that our clients receive the necessary support and that our billing processes are executed accurately and timely. The Caseworker/Data Entry/Billing Clerk will work closely with various departments to ensure that all client information is up-to-date and that any discrepancies are addressed promptly.

Responsibilities

• Checks in the NJMMIS (Emevs) system if the client has active Medicaid
• Conducts daily interviews with new clients by phone and verifies information entered by Intake for quality control
• Informs Intake department of any missing or incorrect information that needs correction
• Processes Medicaid Presumptive Eligibility applications for new eligible clients
• Requests or secures initial or ongoing authorizations according to the funding source
• Cleans up the NYSAMS message queue daily and enters approved authorizations in Excel and Zoobook
• Submits tickets through the NJSAMS system for issues securing prior authorizations and follows up on their status
• Processes PE or assists clients in calling NJ First/Family Care to reestablish Medicaid
• Prepares a new due ERL list at the beginning of the week for distribution to programs
• Submits due ERL in the NJSAMS system
• Sorts, distributes, and makes copies of client correspondence related to health insurance
• Occasionally picks up new client charts from the Intake department
• Maintains ongoing communication with Newark or Secaucus programs regarding client funding changes and discharge dates
• Updates funding sources in Zoobook as necessary
• Bills FFS Newark and Secaucus clients daily using NJ-DAS
• Reviews the Suboxone list submitted by the Medical Department to schedule Zoobook appointments for Medicaid active clients
• Generates and submits Medicaid billing in Zoobook every three days
• Processes the CCF on the NJMISS website if instructed
• Fills out Medicaid paid claims in Zoobook

Requirements

• Associates degree in Accounting
• Minimum of 2 years experience in Data Entry, billing, or accounting role
• Experience with Billing Software, Zoobook, Quickbooks, NJ-DAS/NJMISS knowledge is a plus
• Bilingual speaking preferred