Data Entry Specialist --NARDC5784028
Compunnel Inc., Sioux Falls, SD, United States
Title: Data Entry & Claims Processing Specialist
Duration of the Contract: 36 Months
Possibility for Extension: Yes (Subject to contract terms)
Daily Duties / Responsibilities
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.
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.
Required Skills (Rank In Order Of Importance)
Experience performing data entry, processing, review, and verification tasks.
Familiarity with Datacap, Provider Enrollment Portal, File Director, and mainframe systems.
Knowledge of claims processing (CMS-1500, UB-04 CMS-1450).
Understanding of policies, procedures, and protocols for data verification and quality control.
Experience in provider enrollment and stakeholder outreach.
Ability to meet deadlines and monitor task completion.
Strong attention to detail and accuracy in data handling.
Preferred Skills (Rank In Order Of Importance)
Prior experience working with DSS or similar government agencies.
Proven track record of handling similar scope of work.
Ability to scale services based on project needs.
Experience working in HIPAA-compliant environments.
Office presence or operational capability in South Dakota (Pierre/Rapid City).
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Possibility for Extension: Yes (Subject to contract terms)
Daily Duties / Responsibilities
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.
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.
Required Skills (Rank In Order Of Importance)
Experience performing data entry, processing, review, and verification tasks.
Familiarity with Datacap, Provider Enrollment Portal, File Director, and mainframe systems.
Knowledge of claims processing (CMS-1500, UB-04 CMS-1450).
Understanding of policies, procedures, and protocols for data verification and quality control.
Experience in provider enrollment and stakeholder outreach.
Ability to meet deadlines and monitor task completion.
Strong attention to detail and accuracy in data handling.
Preferred Skills (Rank In Order Of Importance)
Prior experience working with DSS or similar government agencies.
Proven track record of handling similar scope of work.
Ability to scale services based on project needs.
Experience working in HIPAA-compliant environments.
Office presence or operational capability in South Dakota (Pierre/Rapid City).
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