" Track and process various change requests forms and doctor selection requests received through the member portal and other system queues timely and accurately " Process provider termination requests by performing membership moves and initiate termination letter requests to affected membership " Manually process provider selections for members unable to assign through the health plan s auto "assignment systematic process " Track and report provider selection errors demonstrated by call center representatives " Retrieve and process all incoming returned mail " Process all provider and member first time claims | |||||
| Story Behind the Need | |||||
| Purpose: Keying member/provider claims with high quality and focused on meeting productivity goal. 2 open positions | ||||
| Typical Day in the Role | |||||
| Purpose: Keying member/provider claims with high quality and focused on meeting productivity goal. Quality is 98.5% Production goals is 85%-100% meeting expectations. There is a ramp schedule that would ramp for 3 months at 60%, 80%,90%. | ||||
| Candidate Requirements | |||||
| Education/Certification | Required: HSD | Preferred: | |||
| Licensure | Required: No | Preferred: | |||
| Years of experience required: 1+ years of data entry or general office experience, Disqualifiers: No data entry experience, not having reliable internet speed, Additional qualities to look for: Healthcare data entry is preferred | |||||
| 1 | Data Entry Experience / High attention to detail with accuracy / technical proficiency / organized | |||
| 2 | Independent work, no distractions (during work hours, candidate will be focused on data entry/high volume) fast paced, heavy workflow. | ||||
| 3 | Works Remote without disruption and working internet (if internet goes down, use hotspot) | ||||
| Candidate Review & Selection | |||||
| Projected Manager Candidate Review Date: | Within 24 hours | |||
Type of Interviews: | Teams meeting CAMERA ON | ||||
| Required Testing or Assessment (by Vendor): | AGECIES please perform Typing test & computer literacy skills test prior to submittal | ||||
| Next Steps | |||||
| |||||
| Prest, Timothy , Sumpter, Randi | ||||
| Location | Farmington, MO |
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