Guides data entry operators in the data entry process and in solving work problems. Operates computer or other data entry device to enter data in computer-readable format. Inputs accounting or statistical data from source documents into computer, using data entry... [+] More

Guides data entry operators in the data entry process and in solving work problems. Operates computer or other data entry device to enter data in computer-readable format. Inputs accounting or statistical data from source documents into computer, using data entry device, such as keyboard or optical scanner, and following format displayed on screen.

Compares data entered with source documents, or re-enters data in verification format on screen to detect errors. Removes incorrectly entered data, and re-enters correct data. Keeps record of work completed. Compiles, sorts, and verifies accuracy of data to be entered. May assist in role of group leader as required. [-] Less

Determines provider compliance throughout a region and recommends appropriate actions.

This position is typically responsible for learning investigatory techniques for the detection of inadvertent or intentional fraud. Assists in special investigations and provides support in compliance with requests from enforcement agencies.... [+] More

Determines provider compliance throughout a region and recommends appropriate actions.

This position is typically responsible for learning investigatory techniques for the detection of inadvertent or intentional fraud. Assists in special investigations and provides support in compliance with requests from enforcement agencies. Researches, handles and assists in resolution of complaints regarding suspected fraud and/or compliance issues. Analyzes documentation and summarizes data gathered from a variety of sources. Interacts with other departments and performs special tasks to include overseeing random examination processes, enforcing membership actions and assessing reports on provider groups or brokers. Conducts ad hoc investigations. This position typically requires at least one year of underwriting experience. [-] Less

Guides data entry operators in the data entry process and in solving work problems. Operates computer or other data entry device to enter data in computer-readable format. Inputs accounting or statistical data from source documents into computer, using data entry... [+] More

Guides data entry operators in the data entry process and in solving work problems. Operates computer or other data entry device to enter data in computer-readable format. Inputs accounting or statistical data from source documents into computer, using data entry device, such as keyboard or optical scanner, and following format displayed on screen.

Compares data entered with source documents, or re-enters data in verification format on screen to detect errors. Removes incorrectly entered data, and re-enters correct data. Keeps record of work completed. Compiles, sorts, and verifies accuracy of data to be entered. May assist in role of group leader as required. [-] Less

Supervises data entry operators engaged in inputting data into various storage media, manipulating existing data, editing data, and proofing new entries into database for accuracy. Interprets company policy to employees and administers company policies and practices. Analyzes and resolves work... [+] More

Supervises data entry operators engaged in inputting data into various storage media, manipulating existing data, editing data, and proofing new entries into database for accuracy. Interprets company policy to employees and administers company policies and practices. Analyzes and resolves work problems, or assists employees in solving work problems. Ensures work is performed within established policies, procedures, and standards.

Consults with data processing personnel on ways to expedite workflow and improve productivity. Confers with user departments to implement controls and schedules and resolve delivery problems. Advises management on problems relating to data entry. Responsible for data entry improvements in quality and efficiency. Compiles, sorts, and verifies accuracy of data to be entered. May recruit, hire, train staff, evaluate employee performance, and recommend or initiate promotions, transfers, and disciplinary action. [-] Less

Supervises data entry operators engaged in inputting data into various storage media, manipulating existing data, editing data, and proofing new entries into database for accuracy. Interprets company policy to employees and administers company policies and practices. Analyzes and resolves work... [+] More

Supervises data entry operators engaged in inputting data into various storage media, manipulating existing data, editing data, and proofing new entries into database for accuracy. Interprets company policy to employees and administers company policies and practices. Analyzes and resolves work problems, or assists employees in solving work problems. Ensures work is performed within established policies, procedures, and standards.

Consults with data processing personnel on ways to expedite workflow and improve productivity. Confers with user departments to implement controls and schedules and resolve delivery problems. Advises management on problems relating to data entry. Responsible for data entry improvements in quality and efficiency. Compiles, sorts, and verifies accuracy of data to be entered. May recruit, hire, train staff, evaluate employee performance, and recommend or initiate promotions, transfers, and disciplinary action. [-] Less

Guides data entry operators in the data entry process and in solving work problems. Operates computer or other data entry device to enter data in computer-readable format. Inputs accounting or statistical data from source documents into computer, using data entry... [+] More

Guides data entry operators in the data entry process and in solving work problems. Operates computer or other data entry device to enter data in computer-readable format. Inputs accounting or statistical data from source documents into computer, using data entry device, such as keyboard or optical scanner, and following format displayed on screen.

Compares data entered with source documents, or re-enters data in verification format on screen to detect errors. Removes incorrectly entered data, and re-enters correct data. Keeps record of work completed. Compiles, sorts, and verifies accuracy of data to be entered. May assist in role of group leader as required. [-] Less

Supervises data entry operators engaged in inputting data into various storage media, manipulating existing data, editing data, and proofing new entries into database for accuracy. Interprets company policy to employees and administers company policies and practices. Analyzes and resolves work... [+] More

Supervises data entry operators engaged in inputting data into various storage media, manipulating existing data, editing data, and proofing new entries into database for accuracy. Interprets company policy to employees and administers company policies and practices. Analyzes and resolves work problems, or assists employees in solving work problems. Ensures work is performed within established policies, procedures, and standards.

Consults with data processing personnel on ways to expedite workflow and improve productivity. Confers with user departments to implement controls and schedules and resolve delivery problems. Advises management on problems relating to data entry. Responsible for data entry improvements in quality and efficiency. Compiles, sorts, and verifies accuracy of data to be entered. May recruit, hire, train staff, evaluate employee performance, and recommend or initiate promotions, transfers, and disciplinary action. [-] Less

Provides assistance in a clinical research laboratory with basic experiments.

Provides laboratory assistance and conducts standard tests which may involve human and animal medical research. Prepares equipment and aids scientist during tests and examinations. Maintains the laboratory and ensures availability of... [+] More

Provides assistance in a clinical research laboratory with basic experiments.

Provides laboratory assistance and conducts standard tests which may involve human and animal medical research. Prepares equipment and aids scientist during tests and examinations. Maintains the laboratory and ensures availability of required supplies and equipment. Performs administrative duties in the laboratory to include maintenance of records and report preparation. Maintains laboratory equipment. This position typically requires a college degree in health sciences. Specialized training in clinical research may be required. [-] Less

In an entry level capacity, responds to incoming calls and verifies enrollment status, makes changes to records, and researches and resolves enrollment system rejections.

Processes enrollment mail while learning to respond and resolve enrollment issues. Investigates data errors. Orders identification cards... [+] More

In an entry level capacity, responds to incoming calls and verifies enrollment status, makes changes to records, and researches and resolves enrollment system rejections.

Processes enrollment mail while learning to respond and resolve enrollment issues. Investigates data errors. Orders identification cards and responds to routine questions and problems regarding eligibility or membership changes, issues or concerns. Processes inquiries from providers and members. Updates member accounts and terminations. This is an entry level position. [-] Less

Adjudicates or processes health and dental benefit claims for payment.

Under direct supervision, reviews and adjudicates claims. Determines whether to return, suspend, deny or pay claims within established policies and procedures. Compares claim application and/or provider statement with plan file and... [+] More

Adjudicates or processes health and dental benefit claims for payment.

Under direct supervision, reviews and adjudicates claims. Determines whether to return, suspend, deny or pay claims within established policies and procedures. Compares claim application and/or provider statement with plan file and other records to evaluate completeness and validity of claim. Analyzes and answers inquiries regarding claim adjudication, including method of payment, co-pay or deductible amounts, and or reason for denial. Requests information from internal or outside sources to ascertain completeness and validity of claim including coordination of benefits information. Compares data on claim application, death certificate, or physician's statement with policy file and other company records to ascertain validity and to adjudicate the claim. Routes claims requiring additional information or high-level decision-making. Researches claims as needed. Communicates with agents and claimants to correct errors or omissions on claim forms. This is an entry level position and typically does not require previous claims processing experience. [-] Less