Claims Processor Coordinator – Data Entry Expert

Mason, OH - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

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

Skill / Requirement	Required / Preferred	Self Rating (1 10)	Years of Experience	Additional Notes / Comments
Data Entry Speed (9000 KSPM)	Required
Microsoft Excel (Medium Advanced)	Required
Microsoft Outlook	Required
Cloud Applications (OneDrive etc.)	Preferred
Claims Processing	Required
Medicare/Medicaid Knowledge	Preferred
Salesforce	Preferred
Facets System	Preferred
Handling High-Volume Workload	Required
Attention to Detail	Required
Reviewing Membership Documents	Required
Communication & Issue Resolution	Required
Ability to Learn New Processes Quickly	Required
Multi-Tasking Across Multiple Systems	Required

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 C...