Data Entry Claims - Temp

$20.00-25.7

  • 2023-10-11
  • full-time
  • CA - Orange

Job Description:


Data Entry Tech – Temp

Sunshine Staffing is currently seeking Data Entry Techs who are attentive to detail and capable of assisting with day-to-day data entry tasks including processing, organizing, and other services. This individual is responsible and communicative with staff. They will be performing routine and complex data entry and maintenance functions.

Responsibilities

·       Processing member health rewards which include reviewing and entering data from various sources including reward forms.

·       Reviews data and determines appropriateness for inclusion; enters data from various documents or data sources.

·       Assists, monitors and audits the work of other staff involved in health rewards processing.

·       Maintains member eligibility as it pertains to health rewards qualifications.

·       Assists in the development of desk top procedures for assigned functions.

·       Coordinates the tracking of records needed for health rewards processing..

·       Sorts and organizes incoming documents and mail (e.g., member health reward forms, etc.).

·       Processes returned member mailings through incumbent distribution and member record updates in the designated system.

·       Maintains files of member selection forms and other documents.

·       Performs special data entry procedures, including Excel sorts, pivot tables, filters and compiling reports.

·       Generates and prepares manual member letters and notifications for mailing.

·       Resolves eligibility problems with members.

·       Conducts outreach to confirm or clarify member qualifications for a health reward.

·       Communicates with members to verify address, demographic, and incentive discrepancies.

·       Other duties or projects as assigned by management.

·       Conducts follow-up and completion of all member inquiries.

·       Enters accurate, complete, and correct documentation into GuidingCare software and the Covid-19 database regarding all issues and/or inquires.

·       Functions efficiently and productively in a high-volume telephone call center.

·       Maintains departmental productivity and quality standards.

Qualifications

·       High school diploma or equivalent required.

·       1 year of data entry experience required.

·       Bilingual in English and in one of the defined threshold languages preferred.

·       Experience in an HMO, Managed Care or Medi-Cal setting preferred.

·       Must speak Vietnamese required.

 Necessary Attributes

·       Assist users and programmers on determining database requirements for tracking of member records under several categories.

·       Communicate effectively, both verbally and in writing.

·       Assist in data reporting, analysis and reconciling discrepancies for Health reward assignments, demographic changes and eligibility status changes.

·       Utilize computer and appropriate software (Microsoft office suite).

·       Work efficiently and productively in a high-volume call center environment.

·       Participate in team projects cooperatively

·       Work on multiple tasks at once

·       Understand managed health care, health care systems, and medical terminology.

·       Apply principles and techniques for handling customer service issues with professionalism.

·       Resolve and problem solve customer service issues which may arise.

·       Information system databases; familiarity with Microsoft Access desired.

·       Keyboard skills and data entry techniques.

·       Program mail merge of member notices or specific forms and draft revisions on internal guides outlining processes for assigned program.

At Sunshine Enterprise USA LLC, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:

        Competitive pay & weekly paychecks

        Health, dental, vision, and life insurance

        401(k) savings plan

        Awards and recognition programs

        Benefit eligibility is dependent on employment status.

 Sunshine Enterprise USA is an “Equal Opportunity Employer—Minorities, Females, Veterans and Disabled Persons”

 

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