Data Management Specialist 1

DATA MANAGEMENT SPECIALIST I

TACOMA WA

Catholic Community Services Family Behavioral Health is looking for a Data Management Specialist to join our team of innovators who continually push the envelope and challenges traditional thinking in Behavioral Health.

WHO WE ARE

We are a values-driven organization providing family oriented behavioral health care for children youth and families provided primarily in their own home and community. Our enthusiastic clinical teams provide whatever is needed to help children and youth remain safely in their own home restoring hope providing intense mental health services and supports and helping to strengthen the family unity. With sites located in Tukwila Burien North Tacoma University Place Olympia Shelton Bremerton Aberdeen Yelm Vancouver (Salmon Creek and Oakview) and Portland Oregon we offer comprehensive intensive Wrap-around mental health services to a diverse population of families. We employ nearly 700 caring and compassionate employees.

WHAT WE VALUE
Compassion Diversity Strength-Based-ApproachSocial-Justice & Our Staff!

WHAT WE OFFER:

• Starting Base Pay Range:$27.74- $30.86 per hour

BENEFITS:

• 12 paid holidays; plus 1 personal holiday each year!
• 3 weeks vacation per year
• 12 sick-days per year
• Medical
• Dental
• Vision Insurance
• Life Insurance (1 times annual salary)
• Retirement Plans: 403-B Employee Savings Plan and an Employer Contribution Pension

This position is responsible for a high volume of complex data and medical insurance claims processed through various Electronic Health Records (EHRs) pertaining to contracts out of the Olympia Washington office. Primary responsibilities include overseeing requests for authorizations supporting medical necessity/service eligibility (Medicaid) and ensuring authorization is granted by the Managed Care Organization (MCO) contract-specific data management and working with MCOs to ensure all aspects of processing are timely complete and accurate. This position works under the direction of the Northend Operation Manager.

JOB SUMMARY

• Oversee authorization process; ensure clinical staff complete all information supporting Medical Necessity for service authorization. Negotiate changes and exceptions with utilization review department of each MCO to ensure compliance.
• Create new consumer records in CareLogic (FBHs electronic health record) using eligibility information from MMIS CIM3 (HSO) and CIM6 (Family Care) Optum Provider Express (UBH) and One Health Port (other private insurance).
• Enter high volume of enrollment and discharge data into MOTS (Measures and Outcomes Tracking System) for all clients with OHP (Oregon Health Plan) coverage.
• Complete high volume of timely and accurate data entry from psychiatrist QMHP Peer Partner and QMHA direct service staff documentation into
• Create and maintain employee records in CareLogic with WISe (Medicaid) number and credentialing updates as needed.
• Communicate employee WISe NPI and credentialing changes to PhTech.
• Complete high volume of timely and accurate data entry into CareLogic regarding changes in consumer services and consumer exits. Monitor and adjust coding as funder changes occur including NCCI edits credentialing and per diem contract updates.
• Assist CQI leadership in preserving data integrity for audit purposes.
• Verify data input and coordinate with Oregon and Washington office staff to make appropriate corrections (batch error handler).
• Oversee and advise new staff members making timely and accurate submission of invoicing for FSE and other contracts.
• Oversee and provide monthly certification of data within contract parameters and verification through MMIS CIM3 (HSO) and CIM6 (Family Care) Optum Provider Express (UBH) and One Health Port (other private insurance).
• Recommend and participate in implementation of reporting and database management changes.
• Develop and distribute reports to leadership both routine and ad hoc from CareLogic including staff productivity consumer outcome and service reports.
• Develop and distribute reports to funders according to contract requirements regarding consumer outcome service reports and staff credentialing.
• Track consumers by service type at intake and exit using current data collection system.
• Support Quality Management with the collection and processing of information for internal and external stakeholders such as satisfaction surveys outcome information etc.
• Back up support for all tasks assigned to Claims Management Specialist.
• Other duties as assigned.

HIPAA

Responsible for upholding a culture of privacy and security in highly confidential work environment (HIPAA covered entity service area).

Complies with all CCSWW policies and procedures that involve access to and safeguarding of client Protected Health Information (all forms).

WHAT WE ARE SEEKING IN A CANDIDATE:

• High School Diploma or equivalent.
• Age 21 or older.
• One or more years of data entry experience.
• Three or more years experience working in an office setting.
• Demonstrate effective verbal and written communication.
• Ability to work both independently and as a member of a team.
• Demonstrates the necessary attitudes knowledge and skills to deliver culturally competent services and work effectively in multi-cultural situations.
• Strong computer skills especially in Outlook Word Excel and database management systems and knowledge and/or demonstrated ability utilizing electronic healthcare record systems is desired.
• Excellentorganizational skills and ability to work in a busy and diverse environment.
• Applicant must successfully pass required background clearances prior to an offer of employment.
• Support and uphold the mission beliefs and values of Catholic Community Services and Catholic Housing Services.

PREFERRED QUALIFICATIONS:

• Experience with electronic medical records.
• Knowledge of medical insurance claims management procedures and verbiage.
• Ability to analyze consumer data and make recommendations.
• Knowledge of accounting principles.
• Knowledge of HIPAA guidelines.

ABOUT TACOMA:

Urbanites are drawn to downtown Tacoma for its competitively priced living spaces with sweeping views of Mt. Rainier city and water views while families gravitate toward Tacomas charming affordable neighborhoods with big city amenities. Tacoma conveniently located on the I-5 corridor easily accessible to Seattle. Enjoy all the area has to offer:

• A haven for hikers runners and cyclists. Tacoma is alive with activities from students attending the Universities and Trade Technical and Community Colleges.
• Tacomas gourmands and culinary connoisseurs have cultivated a scene thats made national press with top-notch meeting and convention spaces and huge headliner concerts have drawn visitors from across the globe.
• Birthplace of world-renowned glass artist Dale Chihuly displaying at the Glass Museum Tacoma is home to vibrant creative community writers artists and musicians photographers filmmakers passionate entrepreneurs and business owners.

If you are on our careers page and you are interested in being considered for this opening: please click on Apply to upload your resume complete our application and answer a few questions for consideration.

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For additional information: Text Christina at .

Note for Internal Candidates:HR reviews internal compensation and determines any increase based on their experience and also agency internal equity APPLICANTS: PLEASE INCLUDE YOUR UPDATED RESUME AND A COVER LETTER.

Catholic Community Services and Catholic Housing Services is and Equal Opportunity Employer. Please let us know if you need special accommodations to apply or interview for this position.