Job PostingDSS 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 outline 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.
