Medical Claims-Data Entry

This role is for anon-standard medicaland dentalclaims data entry position involvesmanually inputting, reviewing, and correcting complex healthcare claim information into electronic systems, focusing on fields not covered by automated systems.This role willrequire handling nuanced information, such ascare received internationally,workers' compensation, detailed coding review, and high attention to detailcombined with mathematicalproficiency to calculate co-insurance, deductibles, negotiated fee schedules, and to reconcile payment discrepancies.

Location:Remote

Grade:H1

Process: BCBSNJCommercial - Data Entry

Designation: Data Entry

Pay rate: $16/hr

Minimum Criteria:

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  1+years ofhealthcare claims experience, medical billing, or coding

  
  

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  High accuracy and typing speed of10,000+ keystrokes per hour

  
  

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  Strongability to add, subtract, multiply, and divide rapidly and accurately

  
  

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  Ability to work in a fast-paced, high-volume environment

  
  

Role & Responsibilities:

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  Data Entry and Processing:Accurately enter claims, patient demographics, diagnosis codes (ICD-10-CM), and billing codes from paper or electronic sources intoprocessing platforms and systems.

  
  

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  Mathematical Calculation & Verification:Perform calculations to determine accurate payment amounts, including subtracting patient copays and deductibles from total allowable charges, and calculating percentage-based co-insurance.

  
  

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  Review and Correction:Analyze claims for missing or incorrect data (e.g., patient name, date of birth, insurance ID) and correctdiscrepancies before submissionand/or send for further research.

  
  

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  WrittenCommunication:Coordinate with physicians, administrative teams, and insurance providers to resolve missing data or billing discrepancies.

  
  

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  Compliance:Adhere strictly to HIPAA and other health regulations, maintaining confidentiality of sensitive patient information.

  
  

Educational/Professional Qualifications:

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  1+years ofhealthcare claims experience, medical billing, or coding

  
  

Required Skills:

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  Technical Skills:Proficiency with electronicmedical claims platforms

  
  

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  Typing Speed:High accuracy and speedof10,000+ keystrokes per hour (KSPH)

  
  

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  MathematicalCalculationSkill:Strongability to add, subtract, multiply, and divide

  
  

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  Attention to Detail:Ability to spot errors in complex medical documentation

  
  

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  Knowledge:Familiarity with ICD-10, CPT codes, and medical terminology

  
  

Competencies that will be Assessed:

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  Verify understanding ofmedical claims keying and processingsoftware

  
  

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  Evaluate ability tospot errors

  
  

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  Evaluate ability to work in a fast-paced, high-volume environment

  
  

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  Assess typing and math skills

  
  

Selection Procedure:

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  In-depth interview with hiring manager

  
  

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  Skill Assessment