Job Description

Job Description

Job Description

Title : Data Entry 

Client : CalOptima

Location: Orange CA

Pay Rate: $28/HR on W2

Duties & Responsibilities:

95% - Program Support

• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Performs data entry of various documents, data sources and files.
• Conducts outreach calls for data entry purposes as needed.
• Alerts supervisor of any issues that impact production and quality.
• Ensures all Protected Healthcare Information (PHI) is locked at the end of the day.
• Assists in the preparation of the credentialing files, completes data entry and prepares files for review.
• Responds to inquiries from providers and internal staff regarding credentialing status. 

5% - Other

• Completes other projects and duties as assigned. 

Minimum Qualifications:

• High school diploma or equivalent PLUS 1 year of data entry experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

Preferred Qualifications:

• Experience in a managed health care environment.
• Knowledge or background in provider data and/or credentialing and experience in a provider and/or credentialing system.

Required Licensure / Certifications:

• n/a

Knowledge & Abilities:

• Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.  
• Work independently and exercise sound judgment.
• Communicate clearly and concisely, both orally and in writing.
• Work a flexible schedule; available to participate in evening and weekend events.
• Organize, be analytical, problem-solve and possess project management skills.
• Work in a fast-paced environment and in an efficient manner.
• Manage multiple projects and identify opportunities for internal and external collaboration.
• Motivate and lead multi-program teams and external committees/coalitions.
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Physical Requirements (With or Without Accommodations):

• Ability to visually read information from computer screens, forms and other printed materials and information.
• Ability to speak (enunciate) clearly in conversation and general communication.
• Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.
• Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
• Lifting and moving objects, patients and/or equipment 10 to 25 pounds

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