About The Position

Seeking qualified individual for data entry, processing, review and verification and associated tasks. Activities include but are not limited to: • Data entry. • Reviewing records and documentation. • Utilizing various systems for processing, reviewing, and verifying data such as mainframe, Datacap, Provider Enrollment Portal, and File Director. • Knowledge of claims documents including CMS-1500 and UB-04 CMS-1450. • Verifying data against various sources both manually and through technology for claim verification. • Indexing claims. • Application of policies and procedures for data entry, processing, review, and verification. • Provider or stakeholder outreach. • Monitoring completion of activities by established deadlines. • Conducting quality control of work to show adherence expectations. • Other administrative and data entry tasks as assigned.

Requirements

  • Typing Speed and Accuracy: Ability to type consistently at > 35 wpm with extreme attention to detail and accuracy
  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
  • Ability to verify, correct, and validate data to maintain accuracy
  • Attention to detail, organizations, and time management skills
  • Communication skills (Written and Verbal)
  • Claims experience
  • Familiarity utilizing Datacap, Provider Enrollment portal, and File Director
  • Understanding of the policy and procedures, processes and protocols in verifying data, expectations for completion of activities and in conducting quality control functions

Responsibilities

  • Data entry
  • Reviewing records and documentation
  • Utilizing various systems for processing, reviewing, and verifying data such as mainframe, Datacap, Provider Enrollment Portal, and File Director
  • Knowledge of claims documents including CMS-1500 and UB-04 CMS-1450
  • Verifying data against various sources both manually and through technology for claim verification
  • Indexing claims
  • Application of policies and procedures for data entry, processing, review, and verification
  • Provider or stakeholder outreach
  • Monitoring completion of activities by established deadlines
  • Conducting quality control of work to show adherence expectations
  • Other administrative and data entry tasks as assigned

Benefits

  • Paid Sick, Vacation and Holiday Time
  • Insurance for Medical, Dental, Vision and Life Available
  • 401(k) including Employer Match
  • HSA, Short-term & Long-term Disability Available

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

No Education Listed

Number of Employees

11-50 employees

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