Job Description
Must have a passion for helping people!
KECH, Inc. is a HUBZone certified, Woman Owned Small Business (WOSB) founded by leaders who bring knowledge and experience that span 50+ years of success in IT services, service desk, and contact center. KECH is committed to helping our clients achieve extraordinary customer service, one great interaction at a time. KECH is an equal opportunity employer.
The Referral Data Entry Specialist enters specific data/information from physiciansโ requests into a medical management authorization system, achieving required production and quality standards.
Candidates must hold a government security clearance currently, or within the past 6 months.
Responsibilities and Duties
โข Validates patient and medical provider demographic information including correct selection of a medical provider by specialty for healthcare service.
โข Determines whether patients are eligible to receive health care benefits and the appropriate referral/authorization path.
โข Contacts medical provider offices by telephone, and makes confirmation calls to patients for all urgent requests in accordance with contractual timeliness standards.
โข Follows step-by-step instructions, including redirecting patients into the provider network for care, as required by contractual standards.
โข Formulates brief sentences/paragraphs from referral/authorization orders to provide clinical information to servicing providers.
โข Reviews work to validate that information is going to the correct providers/patients, and that the patient’s personal information, and reason(s) for services are correct.
โข Meets goals and produces results through tracking performance, improving work processes, and prioritizing work and tasks.
โข Achieves successful solutions by reviewing situations and ensuring a full understanding before taking steps to resolve.
โข Listens to performance feedback and integrates suggestions into your daily tasks.
โข Demonstrates a strong attendance record and excellent work ethic.
Qualifications and Skills
โข Effective listening & comprehension skills
โข Ability to closely follow instructions
โข Analytical & resourceful problem-solving skills
โข High level of accuracy & attention to detail
โข Computer literacy, technical aptitude & familiarity with basic office software systems
โข Ability to work independently & in a team setting
โข Flexibility to work different shifts with the possibility of overtime, when needed
โข High School diploma or equivalent; college course work preferred. Six months experience in a production/data entry environment performing alpha and numeric data entry in a healthcare related organization such as managed care, claims/billing, health insurance, customer service, call center, or claims office preferred.
โข License/Certification: Medically based trade school diploma/certification, desired.
Benefits:
HOLIDAYS: A minimum of eleven paid holidays per year: New Year’s Day, Martin Luther King Jr.’s Birthday, Washington’s Birthday, Memorial Day, Juneteenth, Independence Day, Labor Day, Columbus Day, Veterans’ Day, Thanksgiving Day, and Christmas Day.
Full medical, dental, vision, and life benefits available.
Job Types: Full-time, Temporary
Pay: $22.00 – $22.50 per hour
Expected hours: 40 per week
Benefits:
โข Dental insurance
โข Employee assistance program
โข Flexible schedule
โข Health insurance
โข Paid time off
โข Vision insurance
Schedule:
โข 8 hour shift
โข Day shift
โข Evening shift
โข Monday to Friday
โข Morning shift
โข Weekends as needed
Experience:
โข Microsoft Office: 1 year (Preferred)
โข Customer service: 1 year (Preferred)
โข Data Entry: 1 year (Preferred)
License/Certification:
โข Government Public Trust/Tier 1 Clearance (Preferred)
Work Location: Remote