Data Entry Specialist

Summary: The Data Entry & Processing Specialist role involves supporting the Client in a Medicaid environment through data entry, verification, and processing of claims and records. This position requires attention to detail and adherence to compliance standards while utilizing various systems for data management. The role may involve remote work with potential onsite collaboration in South Dakota. The duration of the position is up to 36 months.

Key Responsibilities:

• Perform data entry and processing of records and claims
• Review and verify documentation for accuracy and completeness
• Utilize systems such as:
• Mainframe
• Datacap
• Provider Enrollment Portal
• File Director
• Validate data against multiple sources (manual + system-based)
• Process and index claims (CMS-1500, UB-04 / CMS-1450)
• Apply policies and procedures during data handling
• Conduct quality control checks to ensure accuracy
• Support provider/stakeholder outreach as needed
• Track work completion and ensure adherence to deadlines
• Perform additional administrative and operational tasks as required

Key Skills:

• Experience in data entry, processing, and verification roles
• Familiarity with claims processing (CMS-1500, UB-04)
• Experience working with:
• Datacap
• Provider Enrollment systems
• Document management tools
• Understanding of policies, procedures, and compliance standards
• Strong attention to detail and accuracy
• Ability to meet deadlines and quality expectations
• Experience in healthcare / Medicaid environments (preferred)

Salary (Rate): undetermined

City: undetermined

Country: undetermined

Working Arrangements: remote

IR35 Status: undetermined

Seniority Level: undetermined

Industry: Other