[Remote] Data Entry/ CSR

Note: The job is a remote job and is open to candidates in USA. Prism Data Consulting is dedicated to helping data professionals find their best fit and is currently seeking a Data Entry/CSR. The role involves reviewing grievance and appeals documents, classifying disputes, and validating member information while ensuring adherence to HIPAA and data privacy standards.

Responsibilities

• 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 according to client-specific guidelines
• Access multiple client systems and portals to retrieve and validate member information
• Participate in quality audits, training updates, and process improvement initiatives as required

Skills

• Must be available and punctual for scheduled work shifts
• Minimum educational requirement: High School Diploma or GED
• Exceptional attention to detail and ability to meet productivity and accuracy standards
• Familiarity with HIPAA, data privacy, and security requirements
• Strong ability to follow client-specific workflows and procedures
• Experience in a customer service or data entry role within the healthcare industry
• Proficiency in accessing and navigating multiple client systems and portals

Benefits

• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make a positive impact on member experiences
• Adherence to HIPAA and data privacy standards ensures a secure working environment

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