BusinessOperations - Data Entry

Member Provider Selection Requests Processor

Position

Purpose:

Accurately enter and process member provider selection requests and all other administrative operational tasks. Education/

Experience:

High school diploma or equivalent. 1+ years of data entry or general office experience.

• Track and process various change requests forms and doctor selection requests received through the member portal and other system queues timely and accurately

• Process provider termination requests by performing membership moves and initiate termination letter requests to affected membership

• Manually process provider selections for members unable to assign through the health plan's auto-assignment systematic process

• Track and report provider selection errors demonstrated by call center representatives

• Retrieve and process all incoming returned mail and fax requests

• Process all provider member client-enrollment requests

EEO: "Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."

Story Behind the Need

Purpose:

Keying member/provider submitted correspondence claims with high quality and focused on meeting productivity goal. 4 new positions, current inventories have staff working 60+ hours a week and starting to run behind on SLAs

Typical Day in the Role

Purpose:

Keying member/provider submitted correspondence claims with high quality and focused on meeting productivity goal.

Candidate Requirements

Education/Certification

- Required:

HS Diploma
- Preferred:

Licensure

- Required:

N/A
- Preferred:

Years of experience required: 1+years if data entry and general office experience. Candidates must be able to key a minimum of 60 WPM with 95% accuracy or better. Disqualifiers:
No data entry experience;
Not having reliable internet:
People with Call center only data experience are not always ideal for this type of position. Additional qualities to look for:
Healthcare data entry is preferred;
Claims or Correspondence (appeals/medical records, etc.) preferred

Top 3 must-have hard skills stack-ranked by importance - 1 - Data Entry Experience / High attention to detail with accuracy / technical proficiency / organized

2 - Independent work, no distractions (during work hours, candidate will be focused on data entry/high volume) fast paced, heavy workflow.

3 - Works Remote without disruption and working internet (if internet goes down, use hotspot)

Candidate Review & Selection

Shortlisting process

Candidate review & selection

Interview information

Onboard process and expectations
- Projected Manager Candidate Review Date:

- Within 24 hours

Type of Interviews:

- Teams meeting CAMERA ON

Required Testing or Assessment (by Vendor):

- AGENCIES – please perform Typing test prior to submittal (Candidates must be able to key a minimum of 60 WPM with 95% accuracy or better)

Next Steps

Do you have any upcoming PTO? - No

Colleagues to cc/delegate
- Justin Venegoni

Compliance Questions

(Department of Defense) Will this role operate, support, or utilize DOD data, systems, and/or infrastructure, requiring a National Agency Check with Law and Credit Checks (NACLC)? (Vendors: If yes, NACLC check is required).

- No