Data Entry Representative

Job Summary:

This position is responsible for entering medical claim data for a Coordination of Benefits (COB) Competitive Intelligence Team. The role requires knowledge of reading and interpreting medical claims, medical claim forms, and Explanation of Benefits, with medical coding experience a plus. The incumbent will positively impact the accuracy and efficiency of the data entered and work closely with COB Analysts, IT support, and management to communicate completed data entry projects daily and correct any errors timely and efficiently.

• Complete data entry of medical claim information in Professional and Facility Access Databases on a timely basis, meeting or exceeding assigned delivery dates.
• Maintain monthly target productivity metrics for both Professional and Facility Coordination of Benefits manual data entry, including electronic CBOR records.
• Perform quality reviews of all manual and electronic records based on standard protocols and make corrections as needed.
• Maintain target accuracy rates.
• Be responsive to audit feedback from Analysts or management, completing all corrections on a timely basis.
• Participate in team discussions and contribute to the development and testing of projects to improve COB data mining process.
• Support COB analysis process improvements as needed.
• Behave ethically and in compliance with applicable laws when conducting business by ensuring participation in mandatory training courses and adherence to the Company’s Code of Ethics and related policies.
• Work effectively with peers, Analysts, and management to deliver quality COB results and be responsive to their inquiries.

• Proficient with MS Office Suite – Outlook, Access, and Excel.
• Medical Claim knowledge and medical claim form knowledge a plus.
• Independent, but a Team Player.
• Positive motivated individual.
• Organized.
• Good Communicator.
• Problem solving ability.

Training/ramp up period onsite for 1-2 weeks, followed by flex model (MTW Onsite, ThF remote). Annual extensions based on budget and performance. Interview Process: 45 minute in-person, followed by decision. Utilization of all sites, systems, and tools including Access, IView, Xnet, Reference Documents, SharePoint, Iris, Customer Support Center, Outlook, and Excel. Target accuracy rates and audit feedback compliance. Team discussion participation, development, testing, and process improvements.

Ethical behavior compliance with mandatory training and Code of Ethics. Effective peer, Analyst, and management communication and responsiveness.