Optum · 22 hours ago
Data Intake Specialist - Kelsey-Seybold Clinic - KelseyCare Advantage Admin - Pearland
Pearland, TX
Full-time
Onsite
Entry Level
$16.15/hr - $28.80/hr
1+ years expOptum is part of the Kelsey-Seybold Clinic, a leading healthcare organization in the United States. The Data Intake Specialist is responsible for accurately entering, reviewing, and validating data in departmental processing systems, ensuring high accuracy and supporting various teams within the organization.
EducationHealth CareMedicalPharmaceutical
Responsibilities
This role processes mail, including faxes, emails, written correspondence, and calls from Member Services, while requesting and adding necessary documents from members and providers. The Specialist also provides critical support to the Appeals & Grievances, Billing, Coordination of Benefits, and Enrollment teams by ensuring accurate data entry and seamless communication across these functions
This position supports the provider dispute process by performing front-end data entry and administrative tasks, including entering disputes into the Epic system, conducting initial case assessments, and creating necessary documentation in the CRM system. The Specialist also reviews and analyzes departmental reports, escalating issues and trends to management as needed
In addition, the Specialist identifies and implements workflow improvements, provides technical insights, and recommends future department strategies and system enhancements. They collaborate with internal and external departments, including Appeals & Grievances, Billing, Coordination of Benefits, and Enrollment teams, to optimize workflows and support system upgrades through testing and feedback
Qualification
Required
High School Diploma or equivalent
1+ years of healthcare industry or 3+ years customer service experience or 1+ years of quality assurance experience
3+ years of experience with various applications to include: Excel, Word, and Microsoft Edge
Preferred
1+ years of experience in Claims
3+ years of experience ASO Products / Managed Care
Experience with Medicare Guidelines
Experience with EPIC CRM
Experience CMS MARx system
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
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