Data Entry and Customer Service Representative

Job Overview: Data Entry and Customer Service Representative

Resonance CX Partners is seeking a dedicated Data Entry and Customer Service Representative. This role is crucial for professionals who value opportunities aligned with their principles. While Resonance CX Partners connects candidates with top-tier employers, they do not directly hire for these roles themselves. This particular opportunity is within the Health Plan and Healthcare Services industry, offering a competitive salary and significant growth potential.

Why This Opportunity Stands Out

• Competitive compensation at $14 per hour.
• Clear pathways for career advancement and professional growth.
• Engage in a supportive and highly collaborative team environment.
• Directly contribute to improving member experiences in healthcare.
• Benefit from flexible work arrangements, including potential remote options.

Key Responsibilities

• Review incoming Grievance and Appeals documents, ensuring completeness and accuracy.
• Accurately identify and assign the correct Line of Business (LOB) according to client and regulatory standards.
• Determine and classify dispute types based on specific client guidelines.
• Access various client systems to retrieve and validate essential member information.
• Strictly adhere to HIPAA and all data privacy regulations when handling protected health information (PHI).

Required Qualifications

• Demonstrated availability and punctuality for all scheduled work shifts.
• Minimum educational background: High School Diploma or GED.
• Exceptional attention to detail, capable of identifying discrepancies and missing information.
• Strong organizational skills to consistently meet productivity and quality benchmarks.
• Proficiency in following client-specific workflows and standard operating procedures.

Preferred Qualifications to Help You Stand Out

• Prior experience in data entry or customer service, preferably within a healthcare context.
• Solid understanding and practical knowledge of HIPAA regulations and data privacy practices.
• Familiarity with various client systems and portals commonly used in healthcare services.

Key Skills/Competency

• Data Entry
• Customer Service
• HIPAA Compliance
• Healthcare Administration
• Document Review
• Information Validation
• Organizational Skills
• Attention to Detail
• Client Systems
• Problem Solving