Data Entry

Responsibilities

• Reviewing and reconciling member records: This includes reviewing eligibility dates, plans, primary care provider (PCP) information, and other relevant details
• Comparing and reconciling enrollment information: Comparing enrollment information to relevant files, such as 834 files, and making necessary adjustments to ensure correct data is present
• Enrolling new or reinstated members: Processing requests to enroll new members or reinstate existing ones
• Maintaining detailed records: Keeping accurate records of all member interactions
• Following procedures and standards: Adhering to team procedures, including HIPAA policies and procedures, and meeting established performance standards for quality, turnaround time, and productivity
• Maintaining internal customer relations: Interacting with staff to address enrollment issues, conducting research, and ensuring accurate and complete enrollment record information
• Contacting members or other involved parties: Reaching out to insured individuals or other parties to obtain additional or missing information

Requirements

• A High School Diploma or GED
• Prior experience in enrollment processing, particularly with Medicaid, Medicare, or Commercial enrollment
• Ability to work remotely and independently
• Strong attention to detail
• Strong interpersonal, time management, and organizational skills
• Good oral/written communication and analytical skills
• Ability to work in a fast-paced environment and navigate multiple systems, often using dual monitors

Locations

• Kansas City