Health Plan Request Team-Data Entry and Validation Specialist
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