Data Entry Processing Clerk

Role Overview

• Performing data entry activities with a high degree of accuracy
• Reviewing records and supporting documentation for completeness and correctness
• Processing, reviewing, and verifying data using multiple systems, including mainframe applications and document management platforms
• Verifying claims data against multiple sources through both manual and automated methods
• Indexing claims and associated documentation
• Applying established policies and procedures to all data entry and verification activities
• Conducting provider or stakeholder outreach as required
• Monitoring assigned activities to ensure completion within established deadlines
• Performing quality control reviews to confirm adherence to expectations
• Completing additional administrative and data entry tasks as assigned

Requirements

• Proficiency in data entry, processing, review, and verification functions
• Working knowledge of claims documentation, including CMS‑1500 and UB‑04 (CMS‑1450) forms
• Experience using multiple processing and document management systems, including Datacap, Provider Enrollment Portal, and File Director
• Ability to verify and reconcile data across various sources
• Strong attention to detail and commitment to data accuracy
• Ability to apply written policies and procedures consistently
• Capacity to manage multiple tasks while meeting established deadlines

Benefits

• medical, dental, and vision insurance
• 401(k) retirement savings plan with company match
• paid time off (vacation, sick leave, and paid holidays)
• short
• and long-term disability coverage
• life insurance
• opportunities for professional development and training
• telework options (if applicable)
• flexible scheduling
• employee wellness programs
• performance-based incentives