Data Entry Technician

2 weeks ago

Orange, United States WOTM - Partners Professional Full time
Job DescriptionJob Description

Job Summary

We are seeking an experienced Data Entry Technician (healthcare mailroom) to join our team in Orange, CA 92868. The Data Entry Tech (Claims) will ensure consistent and efficient mailroom operations and assist with the day-to-day mailroom responsibilities. The incumbent will perform all mailroom operations and will be responsible for opening, date stamping and triaging all incoming mail and Provider Dispute Resolution forms (PDRs). This is a full time, onsite-contract role with work schedule from Monday-Friday, hours from 9am-5:30pm. Compensation range from $23.00 to $27.00/hr. D.O.E. Tentative Start Jan. 13th 2025

Duties & Responsibilities:

- 95% - Program Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Sorts all incoming mail, counted by claim type and prepared to be sent to the imaging vendor daily. Prepares, date stamps all Certified and FedEx mail and logs in a timely manner. Copies all Certified and FedEx mail envelopes attached to the original document. Delivers mail to the general mailroom to be mailed out twice per day. Maintains a daily log of all misdirected PDR forms and places them in the Grievance and Appeals Resolution Services (GARS) bin for pick up. Performs regularly scheduled morning and afternoon mail deliveries in a timely and consistent manner. Keeps the mailroom area neat and free from clutter, maximizing safety and efficiency. Alerts supervisor of any issues that impact production and quality. Reviews rejected claim files received from vendor and determines appropriate course of action. Sends misrouted claims to the appropriate group within ten business days. Ensures all Protected Healthcare Information (PHI) is locked at the end of the day.
- Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
- Sorts all incoming mail, counted by claim type and prepared to be sent to the imaging vendor daily.
- Prepares, date stamps all Certified and FedEx mail and logs in a timely manner.
- Copies all Certified and FedEx mail envelopes attached to the original document.
- Delivers mail to the general mailroom to be mailed out twice per day.
- Maintains a daily log of all misdirected PDR forms and places them in the Grievance and Appeals Resolution Services (GARS) bin for pick up.
- Performs regularly scheduled morning and afternoon mail deliveries in a timely and consistent manner.
- Keeps the mailroom area neat and free from clutter, maximizing safety and efficiency.
- Alerts supervisor of any issues that impact production and quality.
- Reviews rejected claim files received from vendor and determines appropriate course of action.
- Sends misrouted claims to the appropriate group within ten business days.
- Ensures all Protected Healthcare Information (PHI) is locked at the end of the day.
- 5% - Completes other projects and duties as assigned.

Minimum Qualifications:

- High School diploma or equivalent required.
- 1 year of data entry experience required.
- An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

- Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Preferred Qualifications:

- Mailroom experience in claims operations within managed care or the health care industry.

Knowledge & Abilities:

- Develop rapport and establish and maintain effective working relationships with leadership and staff and external contacts at all levels and with diverse backgrounds.
- Work independently and exercise sound judgment.
- Communicate clearly and concisely, both orally and in writing.
- Work a flexible schedule; available to participate in evening and weekend events.
- Organize, be analytical, problem-solve and possess project management skills.
- Work in a fast-paced environment and in an efficient manner.
- Manage multiple projects and identify opportunities for internal and external collaboration.
- Motivate and lead multi-program teams and external committees/coalitions.

 

Company DescriptionOur Professional Division works with clients as a stakeholder in their hiring strategy and process. We facilitate a solid match for our employees and clients, examining the experience and team dynamics required for a great match. Our professional team was handpicked from 25 years of recruiting and staffing experience to build our Professional team to be the best in the industry. We focus on professional placements in your Executive Placement, Accounting & Finance, Human Resources, and Administrative Support areas. We place candidates leveraging direct hire, contract-to-hire, contingent, and “Smart Hire” modalities.Company DescriptionOur Professional Division works with clients as a stakeholder in their hiring strategy and process. We facilitate a solid match for our employees and clients, examining the experience and team dynamics required for a great match. Our professional team was handpicked from 25 years of recruiting and staffing experience to build our Professional team to be the best in the industry. We focus on professional placements in your Executive Placement, Accounting & Finance, Human Resources, and Administrative Support areas. We place candidates leveraging direct hire, contract-to-hire, contingent, and “Smart Hire” modalities.

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