Scanner/Data Entry I

The Claims Scanner Data Entry Examiner 1 under the direction of the QA Trainer-Data Entry and/or the Supervisor uses and trains on the multiple data entry systems used at HMSA to data enter claims information for medical and hospital services from various forms and sources for all lines of business to the HMSA core claims processing systems.

Duties and Responsibilities:

Data enters medical services and hospital services from the appropriate claim forms (i.e. HCFA 1500 and UB92) and other sources using either optically pre-determined data and/or KFI (key from image) method. Maintain data entry rate to meet or exceed unit and department R.E.s for accuracy, timeliness, and production goals.

Researches missing or invalid HMSA membership and provider numbers in HMSA core system.

Completes daily activity log.

Attends and participates in staff meetings and informal and formal training sessions as required by Scanner Auditor/Trainer and/or Supervisor.

Communicates system problems, workflow issues, manual intervention issues, and recommendations for improvements and modifications to QA Trainer-Data Entry and/or Supervisor.

Other duties as assigned.

Minimum Qualifications:

High school or diploma or general education degree (GED); or three months related experience and/or training; or equivalent combination of education and experience.

Good verbal and written communication skills.

Basic working knowledge of Microsoft Office applications.

EEO/AA/Disability/Vets Employer

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