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Digital Data Review Specialist

Remote: 
Full Remote
Experience: 
Junior (1-2 years)
Work from: 

Offer summary

Qualifications:

High School Diploma or equivalent, 1 year of data-entry experience, Basic Microsoft Word, Excel, Outlook skills.

Key responsabilities:

  • Maintain multiple email inboxes
  • Review and complete keying requests

Allied Benefit Systems, LLC logo
Allied Benefit Systems, LLC Unicorn https://www.alliedbenefit.com/
501 - 1000 Employees
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Job description

The Digital Data Review Specialist is responsible maintaining several email inboxes, reviewing and completing all keying request. This role will prepare claims received internally to be scanned for processing. The Digital Data Review Specialist is required to transfer data from one source and enter it into an Access database quickly and accurately.

Essential Functions

  • Maintain all Outlook email boxes to ensure that all requests for keying non-standard forms are completed and sent for scanning to be processed.
  • Work directly with vendors to organize and distribute all required document types
  • Work directly with members to help get their reimbursement requests processed efficiently
  • Review all necessary information on prescription labels received that is needed for processing such as CPT codes, amounts, dates, units, etc. – and submit for scanning
  • Review escalated documents and educate internally and externally to prevent future escalation
  • Organize precertification and authorization request
  • Process documents through Workflow Manager
  • Claim and document reviewing in QicLink
  • Assist in the training of new Digital Data Review Specialist
  • Review workflow reporting for turnaround and auditing purposes
  • Regular, reliable attendance is required
  • Other duties as assigned.

EDUCATION

  • High School Diploma or equivalent work experience required

Experience And Skills

  • 1 year of data-entry experience required
  • Basic Microsoft Word, Excel, Outlook required. Access and Adobe Pro preferred
  • Must be able to key at a minimum 10,000 keystrokes per hour with 99% accuracy
  • Excellent written and verbal communication skills required

COMPETENCIES

  • Communication
  • Customer Focus
  • Accountability
  • Functional/Technical Job Skills

PHYSICAL DEMANDS

  • This is a standard desk role – extended periods of sitting and working on a computer are required

Work Environment

  • Remote

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Required profile

Experience

Level of experience: Junior (1-2 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Microsoft Word
  • Microsoft Outlook
  • Microsoft Excel
  • Accountability
  • Communication

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