Episource
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
Expert Teams. Ingenious Technologies.
Our journey started in 2006 with medical billing and coding services for physicians, then pivoted to HCC coding for payers. Today, we are an end-to-end enterprise for risk adjustment solutions. We’ve grown by learning and listening to our customers. Our entrepreneurial mindset drives innovation and collaboration. Our goal is to always provide exceptional service and experiences. And now, 15 years later, we are a platform company delivering insights and interventions using superior technology, workflows, and people.
Salary Rate: $17.00/hour)
Pay is based on several factors, including but not limited to education, work experience, certifications, location, and other relevant factors. This is Episource’s good faith and reasonable estimate of the compensation range for this position as of the time of posting. In addition to your salary, Episource offers benefits such as a comprehensive benefits package, incentive and recognition programs, and 401k contribution (all benefits are subject to eligibility requirements: See our benefits section above for more information.)
Episource will require proof of COVID-19 vaccination for all patient-facing healthcare workers, client-facing employees, those employees who are required to perform business travel, and all designated hybrid/in-office-based positions. Episource, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Episource, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.