General Description:
J29 is a government-focused technology company that has a history of strong performance for Federal and State agencies. As a Data Entry Professional, you will support our team in handling and processing Medicare Appeals. In support of CMS, you will be responsible for clerical duties related to Patient-Provider Dispute Resolutions as a part of a new program supporting the “No Surprises Act”. The “No Surprises Act” ensures more transparency in costs to beneficiaries prior to them receiving medical service for in, and out-of, network care.
This role will serves as clerical support for arbitration process related to “surprise” billings. The clerk will work under close supervision, with minimal latitude for the use of initiative and independent judgement.
Performance Standards/Expectations
- All data entered is accurate and does not require correction
- Monthly data quality scores are 98% or greater
- Timeliness goals are met with 99% accuracy
General Experience Requirement:
- At least 2 years of Medical Data Entry Experience
General Experience Preferred:
- Experience working with CMS or other large insurance companies
- Experience with large data workloads
- Experience working remotely
Education Requirement:
- High School Diploma or equivalent
Location Requirement:
- This is a part of Federal Contract through CMS which requires all employs to have lived in the U.S. within 3 of the past 5 years.
Type of Work
- Hourly/Non-Exempt
- Temporary (4-6 mos) with chance of permanent placement
Duties:
- Accurately enters data (key/type) from the Task Order’s internal workflow system into the IDR Portal
- Uploads all relevant case file documents to the appropriate case file
- When entering data, watch for any data inconsistencies or issues and elevate concerns to the manager.
- Corrects data in the Lawbase pursuant to weekly-distributed reports.
- May print, fold, stuff, and mail letters, as directed.
- May fax notices to plans and providers.
- Performs imaging and indexing activities, as directed and required.
- Participates in special projects and performs other duties as assigned.
Skills and Abilities:
Basic Knowledge of:
- Applicable laws, rules and regulations
- Applicable systems and applications
- Automated record-keeping methods
- Customer service concepts
- Inventory control procedures
Basic Skill in:
- Customer service/customer relations
- Preparing and maintaining records, files and reports
- Preparing correspondence/documents using correct spelling, grammar and punctuation; proofreading and reviewing documents for clarity and consistency
- The responsibilities associated with administrative and office procedures to include the use of proper business telephone etiquette, internal communication strategies and use of basic office equipment
- The responsibilities associated with administrative practices and procedures to include writing, editing and report writing techniques, record keeping and records management
- The use of basic mathematical fundamentals
Proficient skill in:
- Accurate Data Entry
- Maintaining effective working relationships with others
- Communicating information effectively
- The use of personal computers and applicable programs, applications and systems
Ability to:
- Pass a background check before being allowed access to the Government’s system
- Must be able to work standard full time work week on Eastern Time schedule
- Multitask and meet deadlines
- Exercise logic and reasoning to define problems, establish facts and draw valid conclusions
- Make decisions that support business objectives and goals
- Identify and resolve problems or refer issues appropriately
- Communicate effectively verbally and in writing
- Adapt to the needs of internal and external customers
- Show integrity and ethical behavior; respect confidentiality, business ethics and organizational standards
- Assure compliance with regulatory, contractual and accreditation entries
Why J29?
J29 is an employee centric Federal Contractor that focuses on creating health and IT solutions for the better of the community. Making company culture the main priority ensures employees satisfaction and retention. We believe in empowering employees to do great things. When you invest in your people, and focus on creating a healthy work life balance, then your employees will take care of your customers and make sure they are happy. One of our sayings is “Work Hard and Be Nice to People” – it really is that simple.
J29 Solutions
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EEO Statement
J29, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.