What are the responsibilities and job description for the Claims Data Entry position at Techgene Solutions LLC?
Data Entry, Processing, Review & Verification and Associated Tasks
Location: Pierre, South Dakota
Contract Duration:
Key Responsibilities
- Perform data entry and processing of claims and related records
- Review and validate documentation for accuracy and completeness
- Utilize systems such as:
- Mainframe systems
- Datacap
- Provider Enrollment Portal
- File Director
- Verify data against multiple sources (manual and system-based validation)
- Work with claims documents including:
- CMS-1500
- UB-04 (CMS-1450)
- Index and organize claims documentation
- Apply policies and procedures to ensure compliance in processing and verification
- Conduct quality control checks to ensure adherence to standards
- Perform provider and stakeholder outreach as needed
- Monitor and ensure completion of tasks within defined timelines
- Support additional administrative and data-related tasks as assigned
Required Qualifications
- Proven experience in data entry, processing, and verification tasks
- Strong familiarity with claims processing and healthcare documentation
- Experience using systems such as Datacap, Provider Enrollment Portal, and File Director
- Knowledge of CMS-1500 and UB-04 (CMS-1450) claim forms
- Understanding of data verification processes, policies, and quality control standards
- Ability to meet strict deadlines and productivity targets
- Strong attention to detail and accuracy
- Experience in provider enrollment and stakeholder outreach processes
Preferred Qualifications
- Prior experience working with government agencies or Medicaid/healthcare systems
- Experience supporting DSS or similar state programs
- Ability to scale work efforts based on workload demands
- Familiarity with HIPAA compliance and data security requirements
Core Competencies
- High attention to detail and accuracy
- Strong organizational and time management skills
- Ability to follow structured processes and procedures
- Analytical thinking and problem-solving
- Effective communication for stakeholder interaction
- Quality-focused mindset