HireTalent - Staffing & Recruiting Firm · 9 hours ago
Data Entry Representative
HireTalent is a staffing and recruiting firm, and they are seeking a Data Entry Representative to enter medical claim data for their Coordination of Benefits team. The role involves ensuring accuracy and efficiency in data entry, collaborating with analysts and management, and maintaining productivity metrics.
DeliveryHuman ResourcesStaffing Agency
Responsibilities
Complete data entry of medical claim information in our Professional and Facility Access Databases on a timely basis, meeting or exceeding assigned delivery dates
Utilize all sites, systems, and tools needed to effectively complete projects as needed such as: Access, IView, Xnet, Reference Documents, SharePoint, Iris, and Customer Support Center, Outlook and Excel
Maintain monthly target productivity metrics for both Professional and Facility Coordination of Benefits manual data entry (including electronic CBOR records)
Perform quality reviews of all manual and electronic records based on standard protocols and make corrections as needed
Maintain target accuracy rates
Be responsive to audit feedback from Analysts, or management, completing all corrections on a timely basis
Participate in team discussions and contribute to the development and testing of projects to improve COB data mining process
Support COB analysis process improvements as needed
Behave ethically and in compliance with applicable laws when conducting *** business by ensuring participating in mandatory training courses and adhering to ***'s Code of Ethics and related policies
Work effectively with peers, Analysts and management to deliver quality COB results. Be responsive to their inquiries
Qualification
Required
Knowledge with how to read and interpret medical claims, medical claim forms and Explanation of Benefits is required
Ability to positively impact the accuracy and efficiency of the data entered
Complete data entry of medical claim information in our Professional and Facility Access Databases on a timely basis, meeting or exceeding assigned delivery dates
Utilize all sites, systems, and tools needed to effectively complete projects as needed such as: Access, IView, Xnet, Reference Documents, SharePoint, Iris, and Customer Support Center, Outlook and Excel
Maintain monthly target productivity metrics for both Professional and Facility Coordination of Benefits manual data entry (including electronic CBOR records)
Perform quality reviews of all manual and electronic records based on standard protocols and make corrections as needed
Maintain target accuracy rates
Be responsive to audit feedback from Analysts, or management, completing all corrections on a timely basis
Participate in team discussions and contribute to the development and testing of projects to improve COB data mining process
Support COB analysis process improvements as needed
Behave ethically and in compliance with applicable laws when conducting business by ensuring participating in mandatory training courses and adhering to the company's Code of Ethics and related policies
Work effectively with peers, Analysts and management to deliver quality COB results
Be responsive to their inquiries
Proficient with MS Office Suite – Outlook, Access and Excel
Independent, but a Team Player
Positive motivated individual
Organized
Good Communicator
Problem solving ability
Preferred
Knowledge and understanding of Medical coding is a plus
Medical Claim knowledge and medical claim form knowledge a plus
Company
HireTalent - Staffing & Recruiting Firm
HireTalent is a certified Minority Business Enterprise (MBE) workforce solutions firm, specializing in securing the best talent fits in Executive/Retained Search, Direct Hire Placements, MSP, SOW, and nationwide hiring program management and support.