Data Entry Clerk

Summary
The Data Entry Clerk provides effective coordination by uploading clinical service requests into database. Communicates with IPA and Providers to ensure timely, accessible care/ services to members. Reports directly to the Outpatient Lead Coordinator under the guidance of the manager. The Data Entry Clerk adheres to MPM company policies and procedures.
Duties and Responsibilities:
  • Enters referral requests received via fax
  • Ensures referrals are entered meeting industry timeframes
  • Verify eligibility and works with eligibility department in maintaining members most current information
  • Validate CPT and ICD 10 Codes for errors
  • Outreach to provider for additional member/provider information
  • Read and maintain email inquiries
  • Distribute misrouted fax requests according to department
  • Identify IPA provider network concerns
  • Sorts and reassigns incoming faxes on right fax
  • Assist with UM special projects
  • Assists the Client Support Center with a high volume of calls, as needed
  • Assists other team members with their workload, as needed
  • Regular attendance at UM team meetings

Minimum Job Requirements:
  • High school graduate or GED equivalent
  • 1-year of experience in data entry
  • Knowledge of medical terminology
  • Ability to type 45 words per minute (WPM)
  • Proficiency in Microsoft Office programs, especially Word and Excel
  • Proficiency in EZ CAP a plus
  • Knowledge of ICD-10

Skills and Abilities:
  • Ability to multi-task while remaining adaptable and flexible to fast-paced environment
  • Strong communication skills
  • Strong organizational skills
  • Critical thinking skills with the ability to prioritize multiple projects

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