Note: The job is a remote job and is open to candidates in USA. Prism Data Consulting is dedicated to helping data professionals find their best fit and is currently seeking a Data Entry/CSR. The role involves reviewing grievance and appeals documents, classifying disputes, and validating member information while ensuring adherence to HIPAA and data privacy standards.
Responsibilities
- Review incoming Grievance and Appeals documents for completeness, legibility, and relevance
- Accurately identify and assign the correct Line of Business (LOB) based on client and regulatory definitions
- Determine and classify the dispute type according to client-specific guidelines
- Access multiple client systems and portals to retrieve and validate member information
- Participate in quality audits, training updates, and process improvement initiatives as required
Skills
- Must be available and punctual for scheduled work shifts
- Minimum educational requirement: High School Diploma or GED
- Exceptional attention to detail and ability to meet productivity and accuracy standards
- Familiarity with HIPAA, data privacy, and security requirements
- Strong ability to follow client-specific workflows and procedures
- Experience in a customer service or data entry role within the healthcare industry
- Proficiency in accessing and navigating multiple client systems and portals
Benefits
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on member experiences
- Adherence to HIPAA and data privacy standards ensures a secure working environment
Company Overview
At Prism Data Consulting, we transform raw information into strategic insights. It was founded in 2012, and is headquartered in , with a workforce of 11-50 employees. Its website is http://www.prismdatahub.com.
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