Data Entry Specialist - Hybrid

About us:

Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn.

Brief Summary of Purpose:

The Data Entry Specialist provides administrative and documentation support for clinical assessment workflows. This role is responsible for accurate entry of Universal Comprehensive Assessment (UCA) data into required systems, quality review of completed assessments, routing assessments for nurse review and signature, and supporting documentation completion and compliance activities. This role is also responsible for converting functional assessments performed by Assessment RNs into tools that assign hours to functional needs. The specialist serves as a key resource in reducing administrative burden on clinical staff, improving documentation efficiency, and ensuring timely submission of assessment-related data.

Job Responsibilities:

Review completed assessments for completeness, consistency, and required documentation.

• Route assessments to nurses for review, corrections, and electronic signature.

• Track assessment completion and ensure timely submission of required documentation.

• Assist with updating assessment documentation based on clinician feedback.

• Maintain assessment records in accordance with organizational and regulatory requirements.

• Monitor assessment workflow queues and identify outstanding documentation needs.

Workflow Coordination

• Support efficient movement of assessments through the completion and submission process.

• Collaborate with nurses, navigators, supervisors, and other clinical staff regarding documentation requirements.

• Communicate missing information or documentation deficiencies promptly.

• Assist in resolving data discrepancies and documentation errors.

• Participate in workflow improvement initiatives to enhance efficiency and reduce duplicate documentation.

Quality & Compliance

• Conduct quality reviews of assessment documentation prior to submission.
• Ensure records meet regulatory, contractual, and organizational standards.
• Support audit preparation and documentation retrieval.
• Maintain confidentiality and security of member health information.
• Follow organizational policies and HIPAA requirements.

Reporting & Administrative Support

• Track and report assessment completion status.
• Maintain logs of submitted, pending, and incomplete assessments.
• Assist leadership with documentation and compliance reports.

Education:

• High school diploma or equivalent required.
• Associate degree in healthcare administration, business, or related field preferred.

Experience:

• Minimum 2 years of healthcare administrative, data entry, medical records, care management support, or related experience.
• Experience working with electronic medical records (EMR/EHR) systems.
• Strong attention to detail and data accuracy.
• Proficiency in Microsoft Office applications.
• Ability to manage multiple priorities in a fast-paced environment.

Pay Range Disclosure:

In accordance with the Massachusetts Wage Transparency Act, the pay range for this position is around $26 - $28/hour, which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate's experience, skills, and fit with the role's responsibilities.

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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