Administrative Skills, Consulting, Data Analysis, Data Entry, Mainframe Computer, Quality Control, Time Management
LOCATION
Pierre, SD
POSTED
19 days ago
Seeking a Data Analyst with experience with Claims (and knowledge of claims documents CMS-1500 and UB-04, CMS-1450) Hybrid in Pierre, SD
The successful candidate will be located with access to provide this consultant work to the State of South Dakota which may include some onsite/virtual collaboration.
DSS is seeking a qualified individual to augment staff 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.