What are the responsibilities and job description for the Claims Data Entry Clerk position at Techgene Solutions?
🚨 We’re Hiring: Data Entry / Claims Processing Specialists 🚨
📌 Job Title: Data Entry, Processing, Review & Verification
🏢 Client: Department of Social Services – Division of Medical Services
📍 Location: Pierre, South Dakota (On-site with remote collaboration flexibility)
💼 Employment Type: Contract (36 Months)
📅 Duration: June 1, 2026 – May 31, 2029
🔍 Role Overview
We are looking for detail-oriented professionals to support data entry, claims processing, review, and verification activities. This role involves working with healthcare claims, ensuring data accuracy, compliance, and meeting strict timelines.
✅ Key Responsibilities
- Perform data entry and processing of claims and related records
- Review and validate documentation for accuracy and completeness
- Work with systems like Mainframe, Datacap, Provider Enrollment Portal, and File Director
- Handle claims forms such as CMS-1500 and UB-04 (CMS-1450)
- Conduct data verification and quality control checks
- Organize and index claims documentation
- Support provider/stakeholder communication and outreach
- Ensure timely completion of assigned tasks
🎯 Required Qualifications
- Experience in data entry, processing, and verification
- Knowledge of healthcare claims and documentation
- Familiarity with Datacap, Provider Enrollment Portal, and File Director
- Understanding of CMS-1500 and UB-04 forms
- Strong attention to detail and ability to meet deadlines
⭐ Preferred Qualifications
- Experience with government or Medicaid programs
- Knowledge of HIPAA compliance
- Experience in provider enrollment and stakeholder engagement
💡 Core Skills
- Attention to detail & accuracy
- Strong organizational skills
- Analytical thinking
- Effective communication
- Process-driven and quality-focused mindset
🏢 Work Environment
- Hybrid (Remote On-site collaboration as needed)
- Vendor must maintain operational presence in Pierre, SD and HIPAA-compliant office in Rapid City, SD
📄 Submission Requirements
- Updated Resume
- Professional References
- Relevant experience in claims processing & data verification