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    Data Entry Clerk - Los Angeles, United States - MedPOINT Management

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    Description

    Job Description

    Job Description

    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

    Skill 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


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