MS Data Entry

Job Posting

DSS is seeking a qualified individual to augment staff for data entry, processing, review and verification and associated tasks. Activities include but are not limited to:

• Data entry.
• Reviewing records and documentation.
• Utilizing various systems for processing, reviewing, and verifying data such as mainframe, Datacap, Provider Enrollment Portal, and File Director.
• Knowledge of claims documents including CMS-1500 and UB-04 CMS-1450.
• Verifying data against various sources both manually and through technology for claim verification.
• Indexing claims.
• Application of policies and procedures for data entry, processing, review, and verification.
• Provider or stakeholder outreach.
• Monitoring completion of activities by established deadlines.
• Conducting quality control of work to show adherence to expectations.
• Other administrative and data entry tasks as assigned.

Responsibilities:

• Track history performing services directly to DSS in the activities outlined in the scope provided.
• Thorough familiarity utilizing Datacap, Provider Enrollment Portal, and File Director, and knowledge of claims.
• Understanding of the policy and procedures, processes and protocols in verifying data, expectations for completion of activities and in conducting quality control functions.
• Experienced employee with thorough knowledge of the provider enrollment and outreach process including stakeholder contact and outreach.
• Ability to expand or contract services as necessary to meet DSS' needs as demonstrated through past performance.
• Office and staff presence in Pierre, SD as well as security and HIPAA compliant office in Rapid City, SD is capable of supporting the work order.