Data Entry Specialist

Aston Carter•City of Albany, NY

1d•$20 - $24•Onsite

About The Position

The Data Entry Specialist (Document Service Representative) supports accurate and timely processing of medical, hospital, dental, pharmacy, and vision claims, as well as related correspondence. You apply strong problem-solving and time management skills to balance multiple tasks, maintain production and quality standards, and ensure documents are correctly captured, coded, routed, and archived in accordance with established policies, procedures, and medical claims coding guidelines.

Requirements

Proficient data entry skills with strong attention to detail and accuracy.
Experience using CRM systems and Microsoft Office Suite or other keying systems.
Familiarity with the healthcare industry, including medical, hospital, dental, pharmacy, and vision claims.
Ability to follow medical claims coding guidelines and established desk levels and procedures.
Strong typing skills and comfort working with computer-based systems.
Competence with Microsoft Excel, Outlook, and general Microsoft Office applications.
Customer service and clerical experience supporting administrative and document-heavy workflows.
Ability to manage multiple tasks simultaneously while maintaining production and quality standards.
Strong organizational skills for filing, scanning, and archiving documents.
High school diploma or GED.

Nice To Haves

Prior experience in healthcare claims processing or a healthcare industry environment.
Background in administrative support, order entry, and general office administration.
Experience with Excel data entry and handling large volumes of data.
Strong computer skills, including comfort with new systems and tools.
Experience with document management systems such as Macess and doc flo queues.
Ability to identify provider billing issues and deviations in provider practice.
Interest in contributing to process improvements within document and claims workflows.
Willingness to work mandatory overtime to meet service level and turnaround time requirements.

Responsibilities

Examine, data enter, and re-write physician, hospital, dental, and pharmacy claims using established policies, procedures, and medical claims coding guidelines.
Perform accurate FormWorks OCR error correction, Key from Image, and Key Entry on medical, hospital, dental, and vision claims in accordance with departmental desk levels.
Complete accurate FormWorks data entry on correspondence documents to ensure work items are filed correctly in Macess and routed to the appropriate doc flo queue for each business area.
Report any scanning, data entry, system, filing, or workflow issues to the Team Lead, Document Management, or a member of management as appropriate.
Work mandatory overtime when needed to meet turnaround time (TAT) service level metrics.
Report obvious provider billing problems observed during claims examination and data entry.
Provide value-added feedback on established desk levels and assist with training newly hired staff when required.
Maintain departmental production and accuracy ratios as established by the department.
Re-direct claims and correspondence to the appropriate resource or department according to established desk levels.
Research and contact appropriate resources, using the corporate documentation system, to obtain information necessary to complete claims examination and data entry.
Initiate and assist in developing process improvements to resolve claims examining and data entry issues and address system limitations.
Perform all scanning room functions, including sorting, prepping, and scanning claims and correspondence documents into FormWorks according to established desk levels.
Archive all incoming claim and correspondence documents in accordance with established desk levels.
Complete the daily rejection report, including retrieval of archived claim and correspondence documents, within established time frames.
Verify scanned documents for completeness and accuracy.
Perform general scanner maintenance as needed to support consistent imaging quality.
Identify and report deviations in provider practice and billing to the Team Lead, Document Management.
Complete all required department documents accurately and on time as outlined in established procedures.