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.
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Track and process various change requests forms and doctor selection requests received through the member portal and other system queues timely and accuratelyProcess provider termination requests by performing membership moves and initiate termination letter requests to affected membershipManually process provider selections for members unable to assign through the health plan's auto assignment systematic processTrack and report provider selection errors demonstrated by call center representativesRetrieve and process all incoming returned mail and fax requestsProcess all provider member client‐enrollment requests.
EEO:"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."
Track and process various change requests forms and doctor selection requests received through the member portal and other system queues timely and accuratelyProcess provider termination requests by performing membership moves and initiate termination letter requests to affected membershipManually process provider selections for members unable to assign through the health plan's auto assignment systematic processTrack and report provider selection errors demonstrated by call center representativesRetrieve and process all incoming returned mailProcess all provider and member first time claims
Story Behind the Need
What is the purpose of this team?Describe the surrounding team (team culture, work environment, etc.) & key projects.Do you have any additional upcoming hiring needs, or is this request part of a larger hiring initiative?
Purpose: Keying member/provider claims with high quality and focused on meeting productivity goal.Processing paper claims – 1 st time – data entry roleVarious form types are used – CDMS 1500 and UB04Standards per hour is used for workload distributionHICVA Red and BlackReds use OCR Program – system works to read, and team will verify and if any adjustments are needed, they will take action (78 claims per hour) – more of a review not actioningHICVA Black systems read top to bottom (18 per hour) – manual adjustments needing to be takenUV Blacks (12 per hour)Typical Day in the Role
Walk me through the day‐to‐day responsibilities and a description of the project (Outside of the Workday JD).What are performance expectations/metrics?What makes this role unique?
Purpose: Keying member/provider claims with high quality and focused on meeting productivity goal.Quality is 98.5%Production goal is 85%-100% meeting expectations. There is a ramp schedule that would ramp for 3 months at 60%, 70%, 80%.Most communication is through Teams or emailMonthly 1:1s to connect on progress and ensure supportTeam will meet as a whole to connect and collaborateCandidate RequirementsEducation/CertificationRequired: High School DiplomaPreferred: LicensureLicensureRequired: NOPreferred: Years of experience required: 1+ years of data entry or general office experience.Disqualifiers: No data entry experience, not having reliable internet speedAdditional qualities to look for:
Ability to type at least 60 WPM with high accuracy, Healthcare data entry is preferred. xjrgpwk Top 3 must‐have hard skills stack‐ranked by importance
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)#J-18808-Ljbffr