Claims Data Entry Specialist

The claims Data Entry Specialist enters incoming claims in accordance with policies, procedures and guidelines, as outlined by Leon Health and contractual agreements; within mandated timeframes. The Claims Data Entry Specialist will be responsible for date stamping, scanning and data entering claims from a variety of sources in a timely manner to maintain turnaround time regulatory requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Keeps current with incoming daily receipts, which includes date stamping, scanning and data entry of claims
2. Enters claim data accurately and timely, in alignment with departmental production and quality goals
3. Identifies when received claims do not have the minimum necessary information required for data entry. Create and send rejection letters to the provider for the rejected claim.
4. Maintains a minimum of 98% accuracy at all times
5. Files and lights administrative duties associated with claims processing, including scanning and sorting of incoming medical records or other documents.
6. Maintains open channels of communication with center administration and other company departments; Answers all inquiries in a professional and courteous manner.

WORK EXPERIENCE

Minimum of 1 year of experience in data entry.

LANGUAGE SKILLS 

• Fluent in English and Spanish.