Health Plan Request Team-Data Entry and Validation Specialist

Remote, USA Full-time
Data Entry and Validation Specialist Position Summary The Data Entry and ValidaƟon (DE&V) Specialist reports to the HPR DE&V Team Manager and supports project intake and uploads into VRM. This role serves as a key liaison between operations staff and the HPR Account Specialists, working with both internal and external clients to facilitate health plan requests. Duties & 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 Minimum Qualifications • 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 Apply tot his job
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