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[Remote] Health Plan Request Team-Data Entry and Validation Specialist

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. Verisma is a company that specializes in health plan requests and data management. They are seeking a Data Entry and Validation Specialist to support project intake and uploads while acting as a liaison between operations staff and account specialists.

Responsibilities

  • Triages inventory received by the Health Plan Request Team against Verisma’s facility site list by determining the appropriate Verisma client or identifying if it is not associated with Verisma
  • Communicates regularly with the HPR Account Specialists regarding the files they are handling
  • Adhere to established guidelines from facilities and requestors concerning fees, exceptions, and standard intake procedures
  • Remains current on facility and requestor requirements, including specialized instruction, rates, and approval protocols
  • Data enter faxed requests from facilities
  • Upload high-volume health plan requests into VRM batches efficiently
  • Processes single patient health plan requests using the ROIS App
  • Produce clear, professional patient lists from Excel inventory files
  • Update inventory files and team trackers consistently
  • Responds promptly to emails to prevent any delays in processing
  • Conduct daily reviews of uploaded batches to confirm successful completion
  • Addresses errors or omissions immediately upon identification or notification
  • Develop expertise in navigating both the VRM and ROIS App platforms
  • Adapt quickly to last-minute changes in work assignments directed by the DE&V Team Manager, particularly for escalating inventory
  • Manage communications with professionalism in alignment with established standards and metrics
  • Maintains positive and effective relationships with clients and requestors
  • Perform other appropriate duties, as assigned, to meet the needs of the department and the company
  • Live by and promote Verisma core values

Skills

  • High school diploma or GED equivalent required
  • Able to multi-task and use numerous resources to ensure facility protocols are followed
  • Strong project management skills
  • Ability to work effectively and independently in high volume and fast paced environments
  • Desire to improve processes to create sustainable robust systems
  • Microsoft Excel proficient
  • Exceptional interpersonal skills and capacity to build effective relationships with co-workers and clients
  • Strong level of patience to resolve issues

Company Overview

  • Verisma, trusted by 20,000+ clients across 50 states, is redefining how healthcare organizations manage and use health data – ensuring it’s trusted, secure and actionable for real-time, high-stakes decision making. It was founded in 2002, and is headquartered in Alpharetta, Georgia, US, with a workforce of 1001-5000 employees. Its website is http://www.verisma.com.
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