Health Plan Request Team-Data Entry and Validation Specialist

Remote Full-time
Data Entry and Validation Specialist Position Summary The Data Entry and ValidaƟon (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 • Adhere 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 enter faxed requests from facilities • Upload high-volume health plan requests into VRM batches efficiently • Processes single patient health plan requests using the ROIS App • Produce clear, professional patient lists from Excel inventory files • Update inventory files and team trackers consistently • Responds promptly to emails to prevent any delays in processing • Conduct daily reviews of uploaded batches to confirm successful completion • Addresses errors or omissions immediately upon identification or notification • Develop expertise in navigating both the VRM and ROIS App platforms • Adapt quickly to last-minute changes in work assignments directed by the DE&V Team Manager, particularly for escalating inventory • Manage communications with professionalism in alignment with established standards and metrics • Maintains positive and effective relationships with clients and requestors • Perform other appropriate duties, as assigned, to meet the needs of the department and the company • Live by and promote 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. Apply tot his job
Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

Intern I - Software Test Development Engineering

Remote Full-time

Experienced Live Chat Support Agent for Luxury Goods – Remote Work Opportunity with Comprehensive Training and Development

Remote Full-time

**Experienced Customer Service Representative – Home Advisor Role at arenaflex**

Remote Full-time

Compliance Specialist (Program Specialist 3)

Remote Full-time

TikTok Specialist (Beauty Industry) – Remote Jobs – Hire Me Remotely

Remote Full-time

Private Cloud Product Owner (Remote)

Remote Full-time

Internet Rater - English (United States)

Remote Full-time

Online Typist (Entry-Level / Freelance)

Remote Full-time

[Remote] Human Rights Lawyer

Remote Full-time

Senior Data Analyst - Customer Experience - Remote

Remote Full-time
← Back to Home