Data Entry Claims Auditor

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Mckinney, TX

Job status
Full time
Paid vacation, Paid personal time, Paid holidays, Life Insurance, Health Insurance, Dental Insurance, 401K / Retirement plan
Job description
The corporate offices of Globe Life is currently recruiting for Data Entry Auditors.

At Globe Life, we really do value our employees and it shows! We make sure you have your own dedicated personal work space and we don't make overtime mandatory-that is truly optional scheduling. Employees at Globe Life are dedicated to their work and we are dedicated to our employees and want to give you peace of mind for your future retirement. After 5 years of working together, Globe Life provides a company funded pension plan for employees. On a day to day basis, you will enjoy a company culture that embraces individuality, celebrates our successes, offers an attractive employee benefits package, and fosters personal development and seeks to promote internal talent.

The Data Entry Auditor is primarily responsible for the timely and compliant audit of claims adjudicated by Data Entry (DE) Operators to determine compliance within established policies and procedures. This position will also maintain daily audit reports and update provider files with information submitted on claim forms. The incumbent will serve in a backup capacity for other duties on the Audit team, as needed.
Education requirements
Associate’s Degree preferred or High School Diploma with equivalent work experience.
Experience requirements
• Microsoft Office user knowledge and typing skills.
• Experience in interpreting Medicare policy language and processing Medicare claims, a plus
• Audit claims adjudicated by DE Operators to ensure accuracy of information keyed into system against submitted claim documents
• Review claims for possible duplicates to route to appropriate Key From Image (KFI) queues for timely processing
• Prepare audit reports to thoroughly document audit findings and track remediation of errors
• Provide timely feedback to DE leadership team regarding identified trends
• Assist Medicare Claim Examiners in locating non-indexed claims in Onbase workflow
• Maintain records of check pulls to include signature of requestor, reason for pull, and action taken
• Review Onbase claim check reports for daily reconciliation of ledger
Add/Update provider files with NPI, TIN, name and/or address as submitted on claim forms
• Collaborate with peers and management to improve processes and department work quality
• Meet and/or exceed established standards for productivity and quality
• Concurrently access multiple databases, software programs, and/or online tools to perform required job functions
• Attend and actively participate in departmental meetings, trainings, and coaching sessions
• Support and participate in all mandatory compliance trainings
• Maintain patient privacy and confidentiality in accordance with HIPAA standards
• Perform additional duties as assigned
• Knowledge of ICD-9/ICD-10, CPT coding, and medical terminology
• Proficiency in Microsoft Office Suite (i.e. Outlook, Excel, Word) and other basic computer programs
• Ability to multitask with detail-oriented approach to work
• Excellent written and verbal communication skills
• Strong analytical skills and problem solving capabilities
• Ability to meet stringent deadlines
• Ability to thrive in fast paced environment while working independently and with limited supervision
• Experience in interpreting Medicare policy language and processing Medicare claims, a plus
• Ability to work within a production environment
Work hours
Full Time scheduling is available.

We are an Equal Opportunity Employer.