Nationwide Insurance
Tyler, TX
The Data Entry Clerk provides effective coordination by uploading clinical service requests into database. Communicates with IPA and Providers to ensure timely, accessible care/ services to members. Reports directly to the Data Entry Lead under the guidance of the manager. The Data Entry Clerk adheres to MPM company policies and procedures. Duties and Responsibilities: Enters referral requests received via fax Ensures referrals are entered meeting industry timeframes Verify eligibility and works with eligibility department in maintaining members most current information Validate CPT and ICD 10 Codes for errors Outreach to provider for additional member/provider information Read and maintain email inquiries Distribute misrouted fax requests according to department Identify IPA provider network concerns Sorts and reassigns incoming faxes on right fax Assist with UM special projects Assists the Client Support Center with a high volume of calls, as needed Assists other team members...