Health Plan Request Team-Data Entry and Validation Specialist

Job Description

REQUIREMENTS

• High school diploma or GED equivalent required
• Able to multi-task and use numerous resources to ensure facility protocols are followed
• Strong project management skills
• Ability to work effectively and independently in high volume and fast paced environments
• Desire to improve processes to create sustainable robust systems
• Microsoft Excel proficient
• Exceptional interpersonal skills and capacity to build effective relationships with co-workers and clients
• Strong level of patience to resolve issues

RESPONSIBILITIES

• Triages inventory received by the Health Plan Request Team against our client’s facility site list by determining the appropriate client or identifying if it is not associated with our client.
• Communicates regularly with the HPR Account Specialists regarding the files they are handling
• Adhere to established guidelines from facilities and requestors concerning fees, exceptions, and standard intake procedures
• Remains current on facility and requestor requirements, including specialized instruction, rates, and approval protocols
• Data enter faxed requests from facilities
• Upload high-volume health plan requests into VRM batches efficiently
• Processes single patient health plan requests using the ROIS App
• Produce clear, professional patient lists from Excel inventory files
• Update inventory files and team trackers consistently
• Responds promptly to emails to prevent any delays in processing
• Conduct daily reviews of uploaded batches to confirm successful completion
• Addresses errors or omissions immediately upon identification or notification
• Develop expertise in navigating both the VRM and ROIS App platforms
• Adapt quickly to last-minute changes in work assignments directed by the DE&V Team Manager, particularly for escalating inventory
• Manage communications with professionalism in alignment with established standards and metrics
• Maintains positive and effective relationships with clients and requestors
• Perform other appropriate duties, as assigned, to meet the needs of the department and the company
• Live by and promote our client’s core values

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