Claims Data Entry Clerk
About The Position
Claims Data Entry Clerk At WelbeHealth, we serve our communities’ most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The Claims Data Entry Clerk serves as a crucial first step in claims processing, with direct accountability for timely and accurate analysis and entry of claim information into electronic databases, ensuring data flows smoothly into the system, preventing delays and errors in payments. This role is different because the Claims Data Entry Clerk at WelbeHealth: Works in a setting that serves frail seniors, meaning your precision supports care quality and continuity, not just data accuracy metrics like in traditional claims roles Operates as part of an integrated, mission-driven team - your work connects directly with clinicians, finance, and operations to keep care delivery seamless We care about our team members. That’s why we offer: Medical insurance coverage (Medical, Dental, Vision) Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days 401K savings + match Comprehensive compensation package including base pay and bonus And additional benefits! On the day-to-day, you will: Accurately enter alphanumeric data, policy numbers, procedure codes, and billing amounts from various documents into databases and claims systems Review entries for accuracy, completeness, and consistency against source documents Identify and resolve inaccuracies in patient demographics, service codes, coverage details, and missing information Sort, file, and organize electronic claim files and supporting records Prepare reports, maintain logs, and ensure accurate status updates on claims Contact providers or internal teams to gather missing information or clarify claim details
Requirements
- High school diploma required
- Experience in a health plan environment with emphasis on data entry, document sorting, and record keeping
- Minimum of three (3) years of experience in claims data entry in health plans (managed care or PACE preferred)
- Strong understanding of medical terms, abbreviations, and jargon to correctly input data
- Working knowledge in Medicare and Medicaid billing and guidelines
Nice To Haves
- experience working in a PACE/healthcare environment
Responsibilities
- Accurately enter alphanumeric data, policy numbers, procedure codes, and billing amounts from various documents into databases and claims systems
- Review entries for accuracy, completeness, and consistency against source documents
- Identify and resolve inaccuracies in patient demographics, service codes, coverage details, and missing information
- Sort, file, and organize electronic claim files and supporting records
- Prepare reports, maintain logs, and ensure accurate status updates on claims
- Contact providers or internal teams to gather missing information or clarify claim details
Benefits
- Medical insurance coverage (Medical, Dental, Vision)
- Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
- 401K savings + match
- Comprehensive compensation package including base pay and bonus
- And additional benefits!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
