DSS is seeking a qualified individual to augment staff for data entry, processing, review and verification and associated tasks. Activities include but are not limited to:
· Data entry.
· Reviewing records and documentation.
· Utilizing various systems for processing, reviewing, and verifying data such as mainframe, Datacap, Provider Enrollment Portal, and File Director.
· Knowledge of claims documents including CMS-1500 and UB-04 CMS-1450.
· Verifying data against various sources both manually and through technology for claim verification.
· Indexing claims.
· Application of policies and procedures for data entry, processing, review, and verification.
· Provider or stakeholder outreach.
· Monitoring completion of activities by established deadlines.
· Conducting quality control of work to show adherence to expectations.
· Other administrative and data entry tasks as assigned.
· Track history performing services directly to DSS in the activities outline in the scope provided.
· Thorough familiarity utilizing Datacap, Provider Enrollment Portal, and File Director, and knowledge of claims.
· Understanding of the policy and procedures, processes and protocols in verifying data, expectations for completion of activities and in conducting quality control functions.
· Experienced employee with thorough knowledge of the provider enrollment and outreach process including stakeholder contact and outreach.
· Ability to expand or contract services as necessary to meet DSS’ needs as demonstrated through past performance.
· Office and staff presence in Pierre, SD as well as security and HIPAA compliant office in Rapid City, SD is capable of supporting the work order.