The role of a data entry representative involves processing of Insurance claims on behalf of Doctors, Hospitals and Health Insurance Companies. Data entry representatives at Dell Services work with highly confidential patient related information used for updating treatment details, posting payments in patient ledgers and entering claim particulars in the Client Software. The challenging environment at Dell Services demands smart keyboarding and computing skills associated with high levels of focus for Quality and Productivity. The Work accomplished by data entry representatives contributes greatly to the success of our Clients in the US Healthcare Industry.
Review patient & insurance information such correct plan ID/payor/network, insurance and patient responsibility based on explanation of benefits received and contract.
Analyze and initiate adjusments/refunds process based on the business rules and contract/benefit information of the insured.
Ensures that insurance claims are posted correctly according to policy holder agreements stipulated on their contract
Checks if the claims are processed correctly based on the benefit of the insured.
Ensure that the correct benefit is applied.
Requests adjustments and process refunds based on contract review/determination.
Sends accounts back to NIC/NPAC if after review, accounts needs assistance and payment posting corrections.
Must be a Bachelor's Degree holder
Highly analytical and flexible
Good English written communication skills