Data Entry in PIERRE, SD (HYBRID)

Job title: Data Entry

Location: PIERRE, SD (HYBRID)

Duration: 36+ Months

Scope of Work

• Client is seeking a qualified individual to augment staff for data entry, processing, review and verification and associated tasks. Activities include but are not limited to:
• Data Entry, Processing, Review & Verification and Associated Tasks
• Reviewing records and documentation.
• Utilizing various systems for processing, reviewing, and verifying data such as mainframe, Datacap, Provider Enrollment Portal, and File Director.
• Knowledge of claims documents including CMS-1500 and UB-04 CMS-1450.
• Verifying data against various sources both manually and through technology for claim verification.
• Indexing claims.
• Application of policies and procedures for data entry, processing, review, and verification.
• Provider or stakeholder outreach.
• Monitoring completion of activities by established deadlines.
• Conducting quality control of work to show adherence expectations.
• Other administrative and data entry tasks as assigned.      

Work Order Response:

Responses to this work order must include resumes and references for each qualified candidate and should demonstrate and give examples of the following:

Track history performing services directly to DSS in the activities outline in the scope provided.

Thorough familiarity utilizing Datacap, Provider Enrollment Portal, and File Director, and knowledge of claims.

Understanding of the policy and procedures, processes and protocols in verifying data, expectations for completion of activities and in conducting quality control functions.

Experienced employee with thorough knowledge of the provider enrollment and outreach process including stakeholder contact and outreach.

Project Location:

The successful candidate will be located with access to provide this consultant work to the State of South Dakota which may include some onsite/virtual collaboration.