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- Serve as primary point person between Data Team and Data Acquisition to coordinate receipt of hospital files, validation, and updates to files as needed. - Develop and implement validation workflows involving cross functional teams to assess new data feeds and files to ensure accuracy and consistency between the acquired data and source systems, such as client hospital EMR systems or sources internal to the organization. - Validate data accuracy by working closely with Subject Matter Experts or Medical Directors and their Site Leadership Teams to reconcile data discrepancies and guide requests to completion. - Create training content and provide centralized guidance for cross functional team members on their roles in validation to ensure accurate reporting.

$14.69 - $27.12USA Virtual What You’ll Do:Handle inbound customer calls and/or e-mails with empathy and professionalismResolve issues, answer questions, and provide proactive solutionsDocument interactions and follow up as neededParticipate in special projects and adapt to evolving prioritiesDeliver a WOW experience on every call—customers should hear your smile!Note: This role does not involve cold calling, sales, or contract upgrades.What We’re Looking For:Minimum Requirements:High school diploma or GEDCustomer service experience (call center, insurance, or banking preferred)

- Receives and monitors the completeness and accuracy of claims forms and supporting documentation submitted by healthcare providers. - Enters claim information, such as patient information, provider details, procedure codes, and diagnosis codes, into the company's claims processing system. - Documents relevant information for the eligibility of the claim, determining coverage and benefits, and assessing the validity and medical necessity of the services rendered. - Calculates claim payments based on the approved reimbursement rates, fee schedules, or contracted rates with healthcare providers.

Respond to incoming calls, emails, chats, SMS text, from general public, clinicians and government officials in accordance with all CDC and Maximus performance standards, policy and procedures, and protocols including but not limited to the confidentiality and privacy policy - Calls, emails, chats, vaccine appointments and sending out kits are predominantly routine, but may require deviation from standard screens, scripts, and procedures - Utilize databases and written materials to look up and provide requested information or task.