Data Entry Clerk

Job Description

Summary

The Data Entry Clerk provides effective coordination by uploading clinical service requests into database. Communicates with IPA and Providers to ensure timely, accessible care/ services to members. Reports directly to the Outpatient Lead Coordinator under the guidance of the manager. The Data Entry Clerk adheres to MPM company policies and procedures.

Duties and Responsibilities

· Enters referral requests received via fax

· Ensures referrals are entered meeting industry timeframes

· Verify eligibility and works with eligibility department in maintaining members most current information

· Validate CPT and ICD 10 Codes for errors

· Outreach to provider for additional member/provider information

· Read and maintain email inquiries

· Distribute misrouted fax requests according to department

· Identify IPA provider network concerns

· Sorts and reassigns incoming faxes on right fax

· Assist with UM special projects

· Assists the Client Support Center with a high volume of calls, as needed

· Assists other team members with their workload, as needed

· Regular attendance at UM team meetings

Minimum Job Requirements

· High school graduate or GED equivalent

· 1-year of experience in data entry

· Knowledge of medical terminology

· Ability to type 45 words per minute (WPM)

· Proficiency in Microsoft Office programs, especially Word and Excel

· Proficiency in EZ CAP a plus

· Knowledge of ICD-10

Skill and Abilities

· Ability to multi-task while remaining adaptable and flexible to fast-paced environment

· Strong communication skills

· Strong organizational skills

· Critical thinking skills with the ability to prioritize multiple projects