Experienced Provider Data Entry Specialist (Remote) – Health Plan System Optimization

At arenaflex, we're dedicated to delivering exceptional healthcare services to our members, and we're seeking a highly skilled Provider Data Entry Specialist to join our team. As a key member of our operations team, you'll play a vital role in ensuring the accuracy and integrity of provider demographic and contract affiliation information within our health plan system. If you're a detail-oriented individual with a passion for data entry and a commitment to excellence, we encourage you to apply for this exciting opportunity.

About arenaflex

arenaflex is a leading healthcare organization that's passionate about providing high-quality services to our members. With a strong focus on innovation and customer satisfaction, we're constantly seeking ways to improve our operations and deliver exceptional results. Our team is comprised of dedicated professionals who share a common goal: to make a positive impact on the lives of our members. As a Provider Data Entry Specialist, you'll be part of a dynamic team that's committed to excellence and driven by a passion for delivering exceptional results.

Job Summary

The Provider Data Entry Specialist plays a critical role in ensuring the accuracy and integrity of provider demographic and contract affiliation information within our health plan system. This role demands meticulous attention to detail and efficiency in processing incoming requests to optimize claims adjudication. As a key member of our operations team, you'll be responsible for receiving provider information from external sources, validating the provided information, and applying your knowledge and experience to ensure accurate data entry and maintenance of provider records in our computer system.

Essential Functions

As a Provider Data Entry Specialist, you'll be responsible for the following key functions:

• Receiving provider information from external sources for system updates and validating the provided information
• Accurately entering and maintaining provider records in our computer system, emphasizing precision and timeliness
• Conducting regular audits of loaded provider records to ensure both quality and financial accuracy, with documented feedback provided when necessary
• Supporting system/health plan integration efforts and training existing staff and new hires
• Assisting in system-related testing activities
• Maintaining reliable attendance based on the agreed-upon schedule
• Understanding and compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations
• Establishing and maintaining positive and effective work relationships with coworkers, clients, members, providers, and customers

Knowledge/Skills/Abilities

To succeed in this role, you'll need to demonstrate the following knowledge, skills, and abilities:

• Exceptional attention to detail and proficiency in data entry with a strong focus on timeliness
• Excellent project management skills, including meeting deadlines and effectively managing time
• Proficiency in Microsoft Office applications, including Outlook, Word, Excel, and Access
• A willingness and ability to learn internal systems, particularly QNXT
• Strong verbal and written communication skills
• Adherence to arenaflex's policies and confidentiality requirements
• Reliable attendance based on the agreed-upon schedule
• Understanding and compliance with HIPAA regulations
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers

Required Education and Experience

To qualify for this role, you must possess a High School Diploma or equivalent GED. Preferred candidates will have 1+ years of managed care experience.

Career Growth Opportunities and Learning Benefits

As a Provider Data Entry Specialist at arenaflex, you'll have access to a range of career growth opportunities and learning benefits, including:

• Professional development and training programs to enhance your skills and knowledge
• Opportunities for advancement and career growth within our organization
• A dynamic and supportive work environment that encourages collaboration and innovation
• A comprehensive benefits package, including medical, dental, and vision coverage, as well as a 401(k) plan
• A competitive salary and bonus structure

Work Environment and Company Culture

arenaflex is committed to creating a positive and inclusive work environment that supports the well-being and success of our employees. Our company culture is built on a foundation of respect, empathy, and open communication, and we're dedicated to fostering a workplace that's diverse, equitable, and inclusive. As a Provider Data Entry Specialist, you'll be part of a dynamic team that's passionate about delivering exceptional results and making a positive impact on the lives of our members.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including a salary of $25.00 per hour, as well as a range of perks and benefits, including:

• Comprehensive medical, dental, and vision coverage
• A 401(k) plan with company match
• Paid time off and holidays
• Flexible work arrangements, including remote work options
• Professional development and training programs
• A dynamic and supportive work environment that encourages collaboration and innovation

How to Apply

If you're a detail-oriented individual with a passion for data entry and a commitment to excellence, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We can't wait to hear from you! Apply Job! Apply for this job