OUR MISSION AND PERFORMANCE EXPECTATIONS

Sevita is a mission-based organization dedicated to providing high quality services to those we serve.  Therefore, to deliver on our mission, The Network expects every employee to perform his or her job first and foremost in accordance with the Company’s mission.

SUMMARY

The primary role of the Data Integrity Specialist is analyzing all documentation to ensure it meets the requirements to enter authorizations and rates into the billing system(s). This person is also responsible for entering the individual’s eligibility information into the system and for communicating with others on any issues preventing a transaction from being entered.

ESSENTIAL JOB FUNCTIONS

To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below:

• Utilizes document management software to prioritize and process transactions daily.
• Utilizes AR software application to process Masterfile transactions; financial eligibility, authorization and rates.
• Obtains and maintains supporting documentation for all transactions.
• Performs data entry tasks for all financial eligibility, authorization, rates in a timely manner.
• Reviews, escalates, and resolves any source documentation discrepancies to meet documentation requirements.
• Works with state office and other key AR staff to resolve outstanding transactions.
• Assists with the resolution of any issues that could impact billing or any month-end closing deadlines.
• Ensures internal control compliance with all assigned areas and other audit requirements
• Assists in the onboarding of new hires and provide training and technical assistance to assigned worker(s) as needed.
• Embraces concept mentoring by actively participating in team meetings and fostering an environment in which team members proactively collaborate with one another
• Proactively supports management as well as the objectives and goals of the department
• Supports special projects, mission critical initiatives and performs other duties as assigned by the Supervisor
• Performs system testing

SUPERVISORY RESPONSIBILITIES

None Required
 

Minimum Knowledge and Skills required by the Job

The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job: 

Education and Experience: 

• High school diploma or equivalent
• Associates or Bachelor's degree in a Finance related field preferred
• Quality Assurance background preferred

Certificates, Licenses, and Registrations:

• None required.

Other Skills and Abilities:

• Must be self-motivated and detail oriented
• Must have excellent communication skills
• Must be highly organized with ability to multi-task
• Must have analytical skills and the ability to collect information from different sources
• Effectively use Microsoft Office (Word, Excel, PowerPoint, Outlook, etc.)

Other Requirements:

• Travel as needed

Physical Requirements:

• Sedentary work.  Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.  Sedentary work involves sitting most of the time.  Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

AMERICANS WITH DISABILITIES ACT STATEMENT

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodation to be determined on a case by case basis via the interactive process.

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.

We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.
 

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law