Examiner I (Remote, $15/hour)

Responsibilities

• Enters data from MNR Form and/or CQE worksheets.
• Maintain a minimum level of production of 20 MNR Forms per hour and maintain quality at or above 98.0%.
• Process a minimum level of back end treatment forms as required.
• Front-end data entry: Reviews MNR forms to be sure all information is complete. Verifies member eligibility and creates patient records. Checks patient and provider information on MNR Forms against information on the eligibility tape in the Integrated Health Care System (IHIS).
• Inputs all required data from MNR forms into Integrated Health Care System (IHIS) in accordance with MNA guidelines.
• Back-end data entry: Retrieves patient files or history for the CQEs as necessary. Reviews CQE’s worksheets to make sure they are complete. Inputs all required data from worksheets into Integrated Health Care System (IHIS). Processes CQE worksheets in accordance to the MNA guidelines.
• Forwards eligibility research to Membership.
• Completes daily tally sheets and production reports for Supervisor.

Qualifications

• High School Diploma or GED certificate required.
• 2 years of data entry experience (10,000 keystrokes per hour - minimum) and working knowledge of the computer keyboard required.

Additional Examiner Skills / Tasks

• Demonstrates proficiency in eligibility verification, provider verification, identifying and pre-screening different form types.
• Add new members and sequence numbers in Member Maintenance.
• Researches via ASHCore logs.
• Performs production query via Reports Manager.
• Forwards eligibility research to Membership.
• Process Duplicate request.
• Contact provider’s office to clarify missing or illegible information on the MNR forms.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
• Demonstrated ability to exercise strict confidentiality in all matters.