Medical Claims Data Entry

Job Summary

Data entering medical claims accurately, the full-time Medical Claims Entry Operator will work from home, processing claims received by mail, resolving discrepancies, and ensuring compliance with processing guidelines.

Key responsibilities

• Accurately enter claims data into Moda's computer systems and reassign claims as necessary
• Resolve claims with errors by matching them to provider or member records
• Research and address basic claims data issues while identifying and communicating trends

Required qualifications

• High school diploma or equivalent
• Six months of data entry experience
• 10-key proficiency of 135 spm net on a computer numeric keypad
• Typing ability of 35 wpm net
• Proficiency with Microsoft Office applications and understanding of basic claims processing rules