Description:Responsible for creation and maintenance of member and provider eligibility records. Research and reconcile authorization data to ensure accuracy. Perform manual entry of authorizations into various client systems. Comfortable with high degree of contact with case managers, client contacts, and providers.
Evaluates data and determines what process is required for specific systems and accounts.
Processes member enrollment and change of coverage requests.
Verifies provider contractual status.
Corresponds with contacts regarding member and provider data.
Resolves problems with automated transmission of authorizations.
Responsible for timely and accurate keying of authorizations in client systems.
Requirements/Certifications:Requirements:
- Minimum of 1-2 years in data entry, verification & claims experience required
- High School Diploma/GED (Required)
- Good computer skills, especially Excel
- Must be able to work in Excel spreadsheets, have strong Excel knowledge
- Be able to work in multiple databases/claims systems
- Some research tasks required
- Searching through databases
- Does not need call center experience.
- Worker needs to able to work independently as the rest of the team will be working virtually.
- Training will be virtual but candidate will sit in the office in Maryland Heights, MO.
- Worker will be sitting in the Call Center but direct manager will be available virtually (from CA).
Schedule:
Monday - Friday
7:30am - 4:00pm for training for 1-2 weeks. Schedule can be flexible after that and can go as late as 6pm.
Pay Rate: ***/hr
Length of contract: 3-6 months possible temp to perm
Interviews: Phone Interviews
Start date: ASAP •
Last updated on Sep 9, 2019