Experienced Data Entry Specialist – Prior Authorization and Utilization Management

Job Summary:

Join arenaflex, a leading healthcare organization, as an Experienced Data Entry Specialist – Prior Authorization and Utilization Management. In this exciting role, you will support the prior authorization request process, ensuring timely and accurate documentation for services related to member healthcare eligibility and access. As a key member of the utilization management team, you will contribute to the authorization review process, maintaining up-to-date knowledge of healthcare, authorization processes, policies, and procedures. If you're a detail-oriented individual with excellent typing skills and a passion for delivering exceptional results, we encourage you to apply.

About arenaflex:

arenaflex is a dynamic and innovative healthcare organization dedicated to providing high-quality services to our members. Our team is passionate about delivering exceptional patient care, and we're committed to creating a work environment that fosters growth, collaboration, and innovation. As a remote employee, you'll have the flexibility to work from the comfort of your own home, while still being part of a dynamic and supportive team.

Responsibilities:

As an Experienced Data Entry Specialist – Prior Authorization and Utilization Management, you will be responsible for:

• Supporting and performing data entry to maintain and update authorization requests in the utilization management system
• Assisting the utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals by policies and guidelines
• Contributing to the authorization review process by documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination
• Remaining up-to-date on healthcare, authorization processes, policies, and procedures
• Performing other duties as assigned, including receiving faxes, triaging them, and sending them out to the appropriate teams within the Client's HealthPlan
• Supporting the intake department to streamline the intake process
• Entering pertinent claims information from source documents
• Correcting entries where indicated
• Maintaining appropriate records, files, documentation, etc.
• Processing for teams including Concurrent Review, Behavioral Health, Medicare, etc.

Performance Expectations/Metrics:

* The team will process anywhere from 3,500 to 4,000 faxes per day – need to get the faxes out to other teams within 1-2 hours of receiving, depending on the form

• 10,000 keystrokes an hour – 50 to 60 WPM, very fast-paced team

Required Skills/Experience:

* 10,000 keystrokes alphanumeric per hour needed = between 50 – 60 WPM. The typing test needs to be attached to the resume

• Ability to be punctual and reliable on the job
• This is an ENTRY-LEVEL role, the team is open to new high school graduates/candidates with a retail background, as long as they can pass the typing test and have open availability
• Retail experience may transfer from a schedule expectation standpoint, due to the team being open 7 days/week
• Open to candidates coming from retail (familiar with the nature of open schedule) with the ability to pass the typing test & process data quickly
• Understanding of medical terminology and insurance is preferred

Preferred Skills/Experience:

* 3 months to 1 year of data processing or clerical experience is preferred, but not required

Education Requirement:

* High school diploma REQUIRED due to possibility of conversion later

Job Type:

* Contract

Pay:

* $16.00 per hour

Expected Hours:

* No less than 40 per week

Benefits:

* 401(k)

• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Vision insurance

Experience:

* Typing Speed 60+ WPM: 1 year (Required)

Location:

* Texas (Required)

Ability to Commute:

* Texas (Required)

Work Location:

* Remote

How to Apply:

If you're a motivated and detail-oriented individual with excellent typing skills, we encourage you to apply for this exciting opportunity. Please submit your resume and a copy of your typing test results to [insert contact information]. We look forward to hearing from you!

Note:

arenaflex is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a work environment that is inclusive, respectful, and supportive of all employees. Apply for this job