Claims Data Entry

Data Entry, Processing, Review & Verification and Associated Tasks Location: Pierre, South Dakota Contract Duration: Key Responsibilities Perform data entry and processing of claims and related records Review and validate documentation for accuracy and completeness Utilize systems such as: Mainframe systems Datacap Provider Enrollment Portal File Director Verify data against multiple sources (manual and system-based validation) Work with claims documents including: CMS-1500 UB-04 (CMS-1450) Index and organize claims documentation Apply policies and procedures to ensure compliance in processing and verification Conduct qualit y control checks to ensure adherence to standards Perform provider and stakeholder outreach as needed Monitor and ensure completion of tasks within defined timelines Support additional administrative and data-related tasks as assigned Required Qualifications Proven experience in data entry, processing, and verification tasks Strong familiarity with claims processing and healthcare documentation Experience using systems such as Datacap, Provider Enrollment Portal, and File Director Knowledge of CMS-1500 and UB-04 (CMS-1450) claim forms Understanding of data verification processes, policies, and quality control standards Ability to meet strict deadlines and productivity targets Strong attention to detail and accuracy Experience in provider enrollment and stakeholder outreach processes Preferred Qualifications Prior experience working with government agencies or Medicaid/healthcare systems Experience supporting DSS or similar state programs Ability to scale work efforts based on workload demands Familiarity with HIPAA compliance and data security requirements Core Competencies High attention to detail and accuracy Strong organizational and time management skills Ability to follow structured processes and procedures Analytical thinking and problem-solving Effective communication for stakeholder interaction Quality-focused mindsetbfb3568a-762b-4989-884b-a9682aa104ca