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Data Entry/Customer Service Representative
Location
United States
Posted
9 days ago
Salary
$14 - $16 / hour
Seniority
Entry Level
No structured requirement data.
Job Description
Data Entry/Customer Service Representative
firstsourc
Role Description - Job Title: Data Entry - Job Type: Full Time - Training: 2 weeks - Training schedule: Mon-Fri 9.00am-5.30pm EST - After Training: Monday-Friday 9:00 to clean desk - FLSA Status: Non-Exempt/Hourly - Grade: H2 - Function/Department: Health Plan and Healthcare Services - Reporting to: Team Lead/Supervisor - Operations - Pay Range: $14-16/hr based on experience Qualifications - Facets experience is given preference in hiring Requirements - Review incoming Grievance and Appeals documents for completeness, legibility, and relevance - Accurately identify and assign the correct Line of Business (LOB) based on client and regulatory definitions - Determine and classify the dispute type (e.g., grievance, appeal, expedited appeal, standard appeal) in accordance with client-specific guidelines - Access multiple client systems and portals to retrieve, verify, and validate member information, including but not limited to: - Member demographics - Member ID numbers - Plan and eligibility details - Index documents by entering required data fields accurately into internal systems or client platforms - Normalize and prepare documents when required to ensure all necessary information is available for downstream processing - Adhere to all HIPAA, data privacy, and security requirements when handling protected health information (PHI) - Meet established productivity, accuracy, and quality standards - Follow client-specific workflows, job aids, and standard operating procedures - Identify discrepancies, missing information, or indexing issues and escalate according to established procedures - Participate in quality audits, training updates, and process improvement initiatives as required Company Description
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