Data Entry Clerk

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

Skills 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