JOB DESCRIPTION
Advance Possibility. Join Episource, a leading provider of risk-adjustment services, software, and solutions for health plans and medical groups.
Job Summary:
The MAC Data Entry Associate will log into Medicare internet portals for the purpose of inputting detailed information for direct Medicare submissions and Medicare Administrative Contractor (MAC) Portal Entry. This person will work independently and as part of a team to enable the submission of missed risk adjustment diagnoses to CMS via established methods. This person is responsible for the accurate and timely submission of healthcare data.
Essential Duties & Responsibilities:
The MAC Data Entry Associate is responsible for entering healthcare diagnosis data to improve accurate claim submissions for healthcare organizations. Internal facing, they will be responsible for recognizing issues while bringing them to the immediate attention of their manager. Though their main duty is data entry, they will work with a cross-functional team to problem solve and provide accurate, timely, data to the client. They may need to telephone a Medicare Area Contractor helpline or research information on government websites. Collecting client information, maintaining an organized filing system, and reviewing data for completeness and accuracy.
Enter client data from source documents within time limits into electronic portals.
Review data for completeness and accuracy
Gain access to MAC portals to prepare for computer entry
Review data for deficiencies or errors, correct incompatibilities and check output
Follow established entry priorities
Maintaining a detailed and organized storage system to ensure reporting is complete and accurate
Work with supervisor and analysts to prepare client progress reports
Maintain the ability to work in an environment with PHI / PII data
Identify data inconsistencies and report data errors to management.
Troubleshoot, investigate, and research technical issues while involving appropriate internal support
Research and navigate in government and MAC websites
Meet production deadlines by completing timely and accurate submission entries
Comply with government rules and regulations
May be assigned other duties.
Must maintain compliance with all company policies and procedures.
Qualifications / Requirements:
High school graduate, some college preferred
Over 1+ years of experience in data entry and data management
Possess a social security number
Experience working in a variety of databases
Knowledge of data management
Detail-oriented with the ability to accurately and completely enter data
High school graduate, some college preferred
High-speed internet connection
Private home workspace
First-rate typing skills with the ability to type 60 WPM
Solid time management skills and the ability to prioritize tasks
Excellent communication skills, both verbal and written
Excellent computer skills and proficiency in MS Office and G-suite
Ability to communicate professionally with internal organizational leaders
Contributes to the development of procedures to ensure timely deliverables
Ability to communicate professionally
High level of ethics, integrity, discretion, and confidentiality.
Here is how you will benefit as a valued member of our Expert Teams at Episource.
Remote culture with company equipment, virtual access, and monthly internet allowance
Self-managed Flexible Time Off / Paid Time Off + eight paid holidays per year
Parental Leave
Wellness Programs (EAP, free subscription to Calm App)
401(k) with company match
Career Development: Tuition reimbursement, certifications, and seminars
Health, Vision, Dental, Voluntary Life, and AD&D Insurance
Health Savings Account / Flexible Savings Account
