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Experienced Provider Data Entry Specialist (Remote) – Health Plan System Optimization

Remote · USA Full-time New today

At arenaflex, we are dedicated to delivering exceptional healthcare services to our members, and we are seeking a highly skilled and detail-oriented Provider Data Entry Specialist to join our team. As a key member of our health plan system team, you will play a vital role in ensuring the accuracy and integrity of provider demographic and contract affiliation information within our system. If you are passionate about data entry, possess excellent attention to detail, and are committed to delivering high-quality results, we encourage you to apply for this exciting opportunity.

About arenaflex

arenaflex is a leading healthcare organization that is committed to providing innovative and patient-centered solutions to our members. Our team of dedicated professionals is passionate about delivering exceptional care and services, and we are seeking like-minded individuals to join our team. As a remote Provider Data Entry Specialist, you will have the opportunity to work from the comfort of your own home, while still being an integral part of our team.

Job Summary

The Provider Data Entry Specialist plays a crucial role in ensuring the accuracy and integrity of provider demographic and contract affiliation information within the health plan system. This role demands meticulous attention to detail and efficiency in processing incoming requests to optimize claims adjudication. As a key member of our team, you will be responsible for receiving provider information from external sources, validating the provided information, and accurately updating provider records in our computer system.

Essential Functions

* Receive and process incoming requests for provider information updates, ensuring accuracy and timeliness in data entry

  • Validate provider information received from external sources, using knowledge and experience to ensure accuracy and completeness
  • Accurately update provider records in our computer system, emphasizing precision and timeliness
  • Conduct regular audits of loaded provider records to ensure quality and financial accuracy, providing documented feedback when necessary
  • Support system/health plan integration efforts, including training existing staff and new hires
  • Assist in system-related testing activities, ensuring seamless integration and functionality
  • Maintain accurate and up-to-date records, adhering to arenaflex's policies and confidentiality requirements

Knowledge/Skills/Abilities

* Exceptional attention to detail, with a strong focus on timeliness and accuracy

  • Proficiency in data entry, with the ability to meet deadlines and manage time effectively
  • Excellent project management skills, with the ability to prioritize tasks and manage multiple projects simultaneously
  • Proficiency in Microsoft Office applications, including Outlook, Word, Excel, and Access
  • Ability to learn internal systems, particularly QNXT, with a willingness to adapt and learn new technologies
  • Strong verbal and written communication skills, with the ability to effectively communicate with coworkers, clients, members, providers, and customers
  • Adherence to arenaflex's policies and confidentiality requirements, with a strong understanding of Health Insurance Portability and Accountability Act (HIPAA) regulations
  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers

Required Education and Experience

* High School Diploma or equivalent GED

  • 1+ years of managed care experience, with a strong focus on data entry and provider management

Preferred Qualifications

* Experience working in a healthcare setting, with a strong understanding of health plan systems and provider management

  • Proficiency in QNXT or similar health plan systems
  • Strong analytical and problem-solving skills, with the ability to identify and resolve issues quickly and effectively

Career Growth Opportunities and Learning Benefits

As a Provider Data Entry Specialist at arenaflex, you will have the opportunity to grow and develop your skills and knowledge in a dynamic and supportive environment. We offer a range of training and development programs, including:

  • On-the-job training and mentorship
  • Access to online training and development resources
  • Opportunities for career advancement and professional growth
  • A collaborative and supportive team environment, with regular feedback and coaching

Work Environment and Company Culture

arenaflex is committed to creating a positive and inclusive work environment, where our employees feel valued, supported, and empowered to succeed. As a remote Provider Data Entry Specialist, you will have the flexibility to work from the comfort of your own home, while still being an integral part of our team. We offer a range of benefits and perks, including:

  • Competitive hourly rate of $25.00 per hour
  • Comprehensive benefits package, including medical, dental, and vision insurance
  • Paid time off and holidays
  • Access to a range of employee discounts and perks
  • A collaborative and supportive team environment, with regular feedback and coaching

Compensation, Perks, and Benefits

* Competitive hourly rate of $25.00 per hour

  • Comprehensive benefits package, including medical, dental, and vision insurance
  • Paid time off and holidays
  • Access to a range of employee discounts and perks
  • A collaborative and supportive team environment, with regular feedback and coaching

How to Apply

If you are a highly skilled and detail-oriented Provider Data Entry Specialist, with a passion for delivering high-quality results, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

Note:

This job posting is for remote candidates only, with a preference for candidates within 25 miles of the DC area. Apply for this job

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