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Senior Data Entry Clerk

What are we looking for in ourSenior Data Entry Clerk?

Our client, a leading health insurer, is seeking a detail oriented Data Entry Clerk to support health plan audits.

• Responsible for development and delivery of special Health Plan report requests for auditing purposes that are in addition to the standard reporting requirements.
• Work with customers to troubleshoot and resolve any errors or discrepancies identified when reviewing distributed reports.
• Prepares member notification mailings for specialist terminations using mass mailing processes.
• Supports the Delegation Oversight Department through the management and interpretation of data, project management, process improvement activities and group facilitation.
• Assists management team with file/audit log preparation for health plan audits.
• Maintains tracking logs and creating Service Now tickets for health plan reporting new templates.
• Assists in maintaining letter templates and communication changes with LCR/LMS team members.
• Uses, protects, and discloses our patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Develop and maintain specific reporting departmental job aides for team member cross training related to the department responsibilities.
• Performs additional duties as assigned.

Qualifications:

• High School Diploma or higher
• 1+ years of healthcare/insurance admin experience
• Skilled with Microsoft Office (Excel, Outlook, word)

Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.