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Experienced Full Stack Healthcare Data Entry Specialist – Remote Healthcare Insurance Verification and Enrollment

Work from home Full-time role Hiring

Are you passionate about making a positive impact on people's lives while working in a dynamic and rewarding environment? Do you have a strong desire to contribute to the healthcare industry, ensuring that individuals receive the best possible care and support? If so, aren'taflex is seeking exceptional Healthcare Data Entry Specialists to join our team.

About arenaflex

arenaflex is a leading provider of healthcare solutions, dedicated to helping individuals and organizations navigate the complexities of the healthcare system. Our mission is to provide our clients with the highest quality service and support, ensuring that they receive the best possible care and outcomes. With a strong commitment to innovation and excellence, we strive to be at the forefront of the healthcare industry, providing cutting-edge solutions that meet the evolving needs of our clients.

About the Role

As a Data Entry Specialist at arenaflex, you will play a vital role in our organization, providing exceptional service to our clients and ensuring their satisfaction. You will be responsible for accurate and efficient data entry in IDX, as well as making necessary edits in health plan portals. This position requires a solid understanding of the health claims process flows and expertise in healthcare terminology, including ICD-9 and ICD-10 coding. You will be responsible for:

  • Policy Management:

+ Member Information Updates: Update member information accurately and promptly in electronic portal. + Policy Terminations and Reinstatements: Handle policy termination requests, process policy terminations effectively, and policy reinstatements. + Perform data entry tasks with precision and efficiency in IDX and health plan portals.

  • Health Coverage:

+ Coverage Information: Update information about coverage plans, including eligibility, benefits, limitations, and exclusions. + Healthcare Provider Research: Conduct thorough research to locate insurance plans for healthcare providers, ensuring accurate and up-to-date information in medical portal. + Escalate any duplicates or issues regarding plan coverage to supervisor. + Analyze and interpret healthcare insurance verification and enrollment information.

  • Additional Responsibilities:

+ Maintain Confidentiality: Adhere strictly to confidentiality policies and safeguard sensitive member information. + Escalate Complex Issues: Escalate complex issues to supervisors or managers for further assistance and resolution. + Continuous Learning: Stay updated on changes in health insurance regulations, policies, and procedures. + Utilize your knowledge of medical terminology and coding to enhance data accuracy. + Contribute to Team Success: Collaborate effectively with team members to achieve shared goals and maintain a positive work environment.

Preferred Experience

* Strong computer experience (data entry, screen navigation, keyboarding)

  • Excellent typing skills to maintain speed and accuracy
  • Ability to adhere to daily schedules and duties
  • Demonstrated strong organizational skills to manage data effectively
  • Detail-oriented with a commitment to meeting deadlines
  • Medical terminology
  • Multi-task along with attention to detail
  • Self-motivation, organized, time-management and deductive problem-solving skills
  • Work independently and as part of a team

Requirements

* High School Diploma or General Education Degree (GED) required

  • At least one (1) year of experience in claims examination, health insurance, customer service, call center, medical office, or other healthcare-related field
  • Must be able to clear a background check

WORK FROM HOME REQUIREMENTS

+ High Speed Internet of 25MBPS download and 5MBPS upload. You will be required to provide proof of a speed test. + Ability to directly hardwire to your modem

  • Actual salary may vary up or down depending on job-related factors which may include knowledge, skills, experience, and location.

Benefits

* Dental insurance

  • Health insurance
  • Vision insurance
  • Work from home
  • 401K
  • PTO after 90 days

Experience level: 2+ year Shift: 8 hour shift Work setting: Remote Education: High School Diploma or equivalent (Required) Experience:

  • English: Read, Write, Speak fluently
  • Call Center Customer Service: 1 year (Required)
  • Healthcare (Medical Insurance/ Benefits): 1 year (Required)

Work Location: Remote

Company Overview

arenaflex is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. arenaflex provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers. The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients. arenaflex is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines. arenaflex LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

How to Apply

If you are a motivated and detail-oriented individual with a passion for making a positive impact in the healthcare industry, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we will review your qualifications and experience. We look forward to hearing from you and exploring how you can contribute to our team's success. Apply for this job

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