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 quality 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 mindset