Health Plan Request Team-Data Entry and Validation Specialist

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Data Entry and Validation Specialist
Position Summary
The Data Entry and ValidaƟon (DE&V) Specialist reports to the HPR DE&V Team Manager and supports project intake and uploads into VRM. This role serves as a key liaison between operations staff and the HPR Account Specialists, working with both internal and external clients to facilitate health plan requests.

Duties & Responsibilities:

  • Triages inventory received by the Health Plan Request Team against Verisma’s facility site list by determining the appropriate Verisma client or identifying if it is not associated with Verisma
  • Communicates regularly with the HPR Account Specialists regarding the files they are handling
  • Adhere to established guidelines from facilities and requestors concerning fees, exceptions, and standard intake procedures
  • Remains current on facility and requestor requirements, including specialized instruction, rates, and approval protocols
  • Data enter faxed requests from facilities
  • Upload high-volume health plan requests into VRM batches efficiently
  • Processes single patient health plan requests using the ROIS App
  • Produce clear, professional patient lists from Excel inventory files
  • Update inventory files and team trackers consistently
  • Responds promptly to emails to prevent any delays in processing
  • Conduct daily reviews of uploaded batches to confirm successful completion
  • Addresses errors or omissions immediately upon identification or notification
  • Develop expertise in navigating both the VRM and ROIS App platforms
  • Adapt quickly to last-minute changes in work assignments directed by the DE&V Team Manager, particularly for escalating inventory
  • Manage communications with professionalism in alignment with established standards and metrics
  • Maintains positive and effective relationships with clients and requestors
  • Perform other appropriate duties, as assigned, to meet the needs of the department and the company
  • Live by and promote Verisma core values
Minimum Qualifications
  • High school diploma or GED equivalent required
  • Able to multi-task and use numerous resources to ensure facility protocols are followed
  • Strong project management skills
  • Ability to work effectively and independently in high volume and fast paced environments
  • Desire to improve processes to create sustainable robust systems
  • Microsoft Excel proficient
  • Exceptional interpersonal skills and capacity to build effective relationships with co-workers and clients
  • Strong level of patience to resolve issues
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