Claims Processor Coordinator - Data Entry Expert

Claims Processor / Coordinator Data Entry Expert

Location: Mason OH 45040 (Onsite in Office 5 days a week)

Duration: 3 Months with possible extensions

Work Hours: M F Full-Time 8:00 AM 4:30 PM (30-Minute lunch)

Start Date: Immediately

Pay Rate: $17.86/hr. W2 All Inclusive

CHARACTERISTICS OF AN IDEAL CANDIDATE

• Ability to learn and adopt new processes quickly and with ease
• Ability to work remotely and autonomously
• Accustomed to working in a high-paced high-volume environment
• Strong attention to detail
• Medium Advance level of expertise with Microsoft Excel
• Proficient with Outlook
• Familiar with Cloud-based applications (i.e. OneDrive)
• Ability to multi-task and perform duties using multiple sources or systems; Data Entry experience preferred
• Ability to clearly articulate findings issues or concerns requiring resolution

MANDATORY REQUIREMENTS

• Looking For Candidate With A Lot Of Excel Experience would love someone with Medicare/Medicaid knowledge as well
• Pre-screen Questionnaire and Data Entry Score Required
• Data entry scores must be 9000 ksmp before they can be considered. Anything lower will be declined

VALUE PROPOSITION FOR CONSULTANT

Provides the employee with exposure to a fast-paced high-volume environment where they are adding value to a department that has maintained 100% client satisfaction 12 years in a row for the nations fastest growing vision care company.

JOB DESCRIPTION

The ideal candidate will be responsible for the timely and accurate completion of key tasks supporting the successful implementation of new Small Business Clients with and/or on behalf of a team of Implementation Specialists.

RESPONSIBILITIES INCLUDE:

• Execute the preliminary steps to build a new client structure for implementation requests routed through shared Salesforce queue; using standard client set-up guideline(s) and process(es).
• Initiation of and accurate and timely tracking for all completed tasks using proprietary Salesforce Implementation Tracker Project Management tool .
• Benefit set-up validation in core Facets system and communicating to implementation owners any discrepancies with expected outcome.
• Execution of new client online portal access set-up; includes sending the appropriate communication email templates tracking status and reporting any identified issues.
• Monitor team shared Outlook mailbox for incoming membership documents sent from clients brokers or Third Party Administrators (TPAs).
• Review incoming membership documents ( Microsoft Excel and Word ) to confirm accuracy in formatting and validity of data; includes communicating when updates are needed for successful membership enrollment and/or submission for processing.

REQUIRED SKILLS & COMPETENCIES

• Data Entry 9000 KSPM or higher (mandatory)
• Strong attention to detail
• Medium Advanced level of Microsoft Excel
• Proficient in Microsoft Outlook
• Familiarity with cloud-based applications (e.g. OneDrive)
• Ability to multi-task and work across multiple systems
• High-volume workload experience
• Ability to articulate findings issues and concerns clearly
• Fast-paced environment adaptability
• Strong learning ability for new processes
• Experience with claims processing (Medicare/Medicaid experience is a plus)

CANDIDATE SELF-ASSESSMENT QUALIFYING SKILL MATRIX