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