| Position Purpose: Accurately enter and process member provider selection requests and all other administrative operational tasks. Education/Experience: High school diploma or equivalent. 1+ years of data entry or general office experience. " 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 and fax requests " Process all provider member Client-enrollment requests. | ||||||
| Story Behind the Need | ||||||
| 1. Purpose: Keying member/provider submitted correspondence claims with high quality and focused on meeting productivity goal. 2. Backfill 1 FTE. | |||||
| Typical Day in the Role | ||||||
| 1. Purpose: Keying member/provider submitted correspondence claims with high quality and focused on meeting productivity goal. | |||||
| Candidate Requirements | ||||||
| Education/Certification | Required: HS Diploma | Preferred: | ||||
| Licensure | Required: N/A | Preferred: | ||||
| Years of experience required: 1+years if data entry and general office experience. Candidates must be able to key a minimum of 60 WPM with 95% accuracy or better Disqualifiers: No data entry experience; Not having reliable internet: People with Call center only data experience are not always ideal for this type of position. Additional qualities to look for: Healthcare data entry is preferred; Claims or Correspondence (appeals/medical records, etc.) 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): | AGENCIES please perform Typing test prior to submittal (Candidates must be able to key a minimum of 60 WPM with 95% accuracy or better) | |||||
| Next Steps | ||||||
| No | |||||
| Kourtney Munger/ Andrea Pettus | |||||
| Compliance Questions | ||||||
| No | |||||
| Location | Remote-MO, MO (Remote) |
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