Health Plan Request Team-Data Entry and Validation Specialist
Verisma · United States
- Hybrid
- Full-time
- $50,000 / year
- United States
Job highlights
- Process health plan requests efficiently.
- Upload data into VRM and ROIS platforms.
- Communicate with internal and external clients.
- Maintain accurate inventory and trackers.
- Ensure adherence to facility protocols.
About the role
Data Entry and Validation Specialist
The Data Entry and Validation (DE&V) Specialist reports to the HPR DE&V Team Manager and supports project intake and uploads into VRM. This role serves as a key liaison between operations staff and the HPR Account Specialists, working with both internal and external clients to facilitate health plan requests.
Duties & Responsibilities
- Triages inventory received by the Health Plan Request Team against Verisma’s facility site list by determining the appropriate Verisma client or identifying if it is not associated with Verisma.
- Communicates regularly with the HPR Account Specialists regarding the files they are handling.
- Adheres to established guidelines from facilities and requestors concerning fees, exceptions, and standard intake procedures.
- Remains current on facility and requestor requirements, including specialized instruction, rates, and approval protocols.
- Data enters faxed requests from facilities.
- Uploads high-volume health plan requests into VRM batches efficiently.
- Processes single patient health plan requests using the ROIS App.
- Produces clear, professional patient lists from Excel inventory files.
- Updates inventory files and team trackers consistently.
- Responds promptly to emails to prevent any delays in processing.
- Conducts daily reviews of uploaded batches to confirm successful completion.
- Addresses errors or omissions immediately upon identification or notification.
- Develops expertise in navigating both the VRM and ROIS App platforms.
- Adapts quickly to last-minute changes in work assignments directed by the DE&V Team Manager, particularly for escalating inventory.
- Manages communications with professionalism in alignment with established standards and metrics.
- Maintains positive and effective relationships with clients and requestors.
- Performs other appropriate duties, as assigned, to meet the needs of the department and the company.
- Lives by and promotes Verisma core values.
Minimum Qualifications
- High school diploma or GED equivalent required.
- Able to multi-task and use numerous resources to ensure facility protocols are followed.
- Strong project management skills.
- Ability to work effectively and independently in high volume and fast-paced environments.
- Desire to improve processes to create sustainable robust systems.
- Microsoft Excel proficient.
- Exceptional interpersonal skills and capacity to build effective relationships with co-workers and clients.
- Strong level of patience to resolve issues.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without prior notice.
Key skills/competency
- Data Entry
- Data Validation
- Health Plan Requests
- VRM Platform
- ROIS App
- Microsoft Excel
- Client Communication
- Process Improvement
- Project Management
- Attention to Detail
Skills & topics
- Data Entry Specialist
- Data Validation
- Health Plan Requests
- VRM
- ROIS App
- Microsoft Excel
- Healthcare Administration
- Client Services
- Process Improvement
- Administrative Support
- High Volume Data Entry
- Project Management
- Fast-Paced Environment
- Attention to Detail
- Full-Time
- On-site
How to get hired
- Tailor your resume: Highlight data entry, validation, Excel proficiency, and client communication skills relevant to the Data Entry and Validation Specialist role at Verisma.
- Showcase relevant experience: Emphasize any experience with healthcare systems, high-volume data processing, or process improvement initiatives in your application.
- Prepare for technical questions: Be ready to discuss your proficiency with Microsoft Excel and any experience with similar data management platforms like VRM or ROIS.
- Demonstrate soft skills: Prepare examples showcasing your ability to multitask, work independently in fast-paced environments, and maintain strong interpersonal relationships.
- Understand Verisma's values: Research Verisma's core values and be prepared to discuss how your work ethic aligns with them.
Technical preparation
Master Microsoft Excel functions and formulas.,Practice data entry for speed and accuracy.,Familiarize with VRM and ROIS App concepts.,Understand health plan request workflows.
Behavioral questions
Describe handling high-volume, fast-paced tasks.,How do you ensure accuracy in your work?,Give an example of improving a process.,How do you manage client communication effectively?
Frequently asked questions
- What are the primary responsibilities of a Data Entry and Validation Specialist at Verisma?
- As a Data Entry and Validation Specialist at Verisma, you will be responsible for triaging health plan requests, entering data into VRM and ROIS App, communicating with HPR Account Specialists and external clients, and ensuring all requests adhere to facility guidelines and protocols. You will also be involved in reviewing uploaded batches for accuracy and addressing any errors.
- What software or platforms will I use as a Data Entry and Validation Specialist at Verisma?
- You will primarily use Verisma's VRM platform for project intake and uploads, and the ROIS App for processing single patient health plan requests. Proficiency in Microsoft Excel is also essential for producing patient lists and updating inventory files.
- What kind of work environment can I expect as a Data Entry and Validation Specialist?
- You can expect a high-volume, fast-paced environment where efficiency and accuracy are key. The role requires the ability to work effectively and independently, while also collaborating with internal and external stakeholders.
- What are the key qualifications for a Data Entry and Validation Specialist at Verisma?
- The minimum qualifications include a high school diploma or GED equivalent, proficiency in Microsoft Excel, strong project management skills, and the ability to multitask and work independently in a fast-paced setting. Exceptional interpersonal skills and patience are also crucial for client and co-worker relationships.
- How does Verisma ensure data accuracy for health plan requests?
- Verisma utilizes a thorough data entry and validation process. Specialists are trained to adhere to strict guidelines, regularly review uploaded batches for completion, and promptly address any errors or omissions. Expertise in platforms like VRM and ROIS App further supports data integrity.
- What opportunities for process improvement exist for a Data Entry and Validation Specialist?
- The job description mentions a 'Desire to improve processes to create sustainable robust systems.' This suggests that Verisma values input on enhancing efficiency and effectiveness in data handling and request processing.