Data Entry Specialist

Who we are

Community Health Plan of Washington is
an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration.

Our commitment is to:

• Strive to apply an equity lens to all our work. 
• Reduce health disparities. 
• Become an anti-racist organization. 
• Create an equitable work environment. 

About the Role

Responsible for key Provider Data Entry required for the Credentialing and Claims processing systems.

To be successful in this role, you:

• Have two (2) years of work experience doing Data Entry and or administration support in an office setting.
• Have an Associates degree or an equivalent combination of education and highly relevant experience, required.

Essential functions and Roles and Responsibilities:

• Loads provider data into Credentialing database, CACTUS.
• Maintains a tracking mechanism for the provider Washington Practitioner Application process
• Set up Group Practice records for new contracts in the credentialing database, CACTUS Manage new contract workflow in OnBase and CACTUS.
• Performs Data Entry of changes to provider data into CACTUS system
• Contacts originators of source documents to resolve questions, inconsistencies, or missing data.
• Prepares and sorts source documents, and identifies and interprets data to be entered.
• Routes source documents after entry
• Provides support and general administrative assistance to the contracting and credentialing teams when needed
• Non-Exempt - Reporting to work on time and for all scheduled shifts is essential to this position.
• Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.

Knowledge, Skills, and Abilities:

• Demonstrated proficiency and experience with Microsoft Office products
• Effective verbal and written communication skills
• Flexibility and willingness to work in a matrix-management environment
• Ability to handle multiple priorities in a fast-paced environment
• Ability to multi-task and deal with complex assignments on a frequent basis
• Strong written and verbal communication skills; able to communicate with and collaborate effectively with physicians and allied health care providers
• Ability to work independently
• Ability to present in a group setting
• Willingness to be part of a fast moving, and dynamic clinical development team
• Collaborate with others in a respectful manner
• Perform all functions of the job with accuracy, attention to detail and within established timeframes.
• Meet attendance and punctuality standards
• Demonstrate professional courtesy to others and ability to maintain confidentiality

As part of our hiring process, the following criteria must be met:

• Complete and successfully pass a criminal background check.

Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant’s criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees.

• Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency.
• Vaccination requirement (CHPW offers a process for medical or religious exemptions)
• Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation.

Compensation and Benefits:

The position is FLSA Non-Exempt (Exempt) and is (not) eligible for overtime. Based on market data, this position grade is 38 (see full range below) and has a 5% annual incentive target based on company, department, and individual performance goals.

CHPW offers the following benefits for Full and Part-time employees and their dependents: 

•  Medical, Prescription, Dental, and Vision
•  Telehealth app
•  Flexible Spending Accounts, Health Savings Accounts
•  Basic Life AD&D, Short and Long-Term Disability
•  Voluntary Life, Critical Care, and Long-Term Care Insurance
•  401(k) Retirement and generous employer match
•  Employee Assistance Program and Mental Fitness app
•  Financial Coaching, Identity Theft Protection
•  Time off including PTO accrual starting at 17 days per year
•  40 hours Community Service volunteer time
•  10 standard holidays, 2 floating holidays
•  Compassion time off, jury duty

Sensory/Physical/Mental Requirements:

Sensory*:

• Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance.

Physical*:

• Extended periods of sitting, computer use, talking and possibly standing
• Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion
• Frequent torso/back static position; occasional stooping, bending and twisting
• Some kneeling, pushing, pulling, lifting and carrying (not over 25 pounds), twisting and reaching

Mental:

• Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations. Analytical/problem solving/critical thinking ability.

Work Environment:

Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.