At arenaflex, we're revolutionizing the healthcare industry by providing a comprehensive health plan that prioritizes preventive care and offers more benefits. As a Data Entry Analyst with medical claims processing expertise, you'll play a vital role in helping us achieve our mission. If you're passionate about delivering exceptional results, building strong relationships, and making a meaningful impact in the healthcare sector, we want to hear from you.
**About arenaflex**
arenaflex is a forward-thinking company that's dedicated to transforming the healthcare landscape. Born out of the pandemic, we've created a health plan that's designed to meet the evolving needs of individuals, patients, and providers. Our innovative approach focuses on preventive care, affordability, and benefits that truly matter. As a Data Entry Analyst, you'll be part of a dynamic team that's passionate about making a difference in the lives of our members and the healthcare community.
**Job Summary**
We're seeking an experienced Data Entry Analyst with a strong background in medical claims processing to join our team. As a key member of our System Configuration Team, you'll be responsible for delivering day-to-day operations, ensuring timely claims processing, and collaborating with various departments to drive efficiency. If you're a detail-oriented, team-oriented individual with excellent communication skills and a passion for healthcare, we encourage you to apply.
**Essential Duties and Functions**
As a Data Entry Analyst with arenaflex, you'll be responsible for the following key tasks:
* Delivering day-to-day operations of the System Configuration Team activities
* Ensuring tasks for System Configuration teams are performed and completed, and communicated to other team members
* Collaborating with IT, Medical Services, Claims Team, System Support to ensure efficiency
* Reviewing PENDED claims on a daily basis for various reasons to ensure timely claims processing
* Working with the Claims Processing department to ensure day-to-day PENDS are handled in a timely manner
* Analyzing, tracking, and trending provider, system setup, and claim errors
* Working on claims team projects and reporting, assigned
* Assisting with all groups for professional and facility claim processing
* Attending departmental training when required or requested
* Adhering to the rules and regulations of arenaflex as described in the Employee Handbook and as defined in the unit/department/clinic procedures
* Performing other duties as assigned
**Experience**
To be successful in this role, you'll need:
* At least 3-5 years of experience in claims adjudication, including PPO and/or Medicaid, ERISA, Medicare, Level Funded, and Self-Funded experience with various claim payment systems in processing hospital, mental health, dental, and routine medical claims within given deadlines
* Excellent working knowledge of MS Access, Google Sheets, and Excel required
* Knowledge of medical terminology, ICD-10, CPT, and HCPCS coding
* Experience processing claims on the HealthEdge System is preferred
* Excellent computer and keyboarding skills, including familiarity with Windows
* Excellent interpersonal and problem-solving skills
* Excellent verbal and written communication skills to communicate clearly and effectively with all levels of staff, members, and providers
* Ability to be focused and sit for extended periods of time at a computer workstation
* Ability to work in a team environment and manage competing priorities
* Ability to calculate allowable amounts such as discounts, interest, and percentages
**Knowledge, Skills, and Abilities**
To excel in this role, you'll need:
* Ability to communicate with all levels of staff
* Advanced knowledge of claim coding and editing rules Optum/CMS
* Knowledge of TDI regulations and requirements for claims payments
* Knowledge of HIPPA regulations
* Knowledge of medical terminology, ICD-10 CPT, and HCPCS coding
* Proficient computer skills to include Microsoft Office applications and Google Sheets
* Excellent verbal and written communication skills
* Ability to communicate clearly and effectively
* Ability to sit for extended periods of time at a computer workstation
* Ability to multitask and think creatively
* Enrollment/Eligibility 834's knowledge
* Claims 837 Files knowledge
* Cobra Knowledge/COB Knowledge
**Career Growth Opportunities and Learning Benefits**
At arenaflex, we're committed to helping you grow and develop your skills. As a Data Entry Analyst, you'll have access to:
* Ongoing training and development opportunities to enhance your knowledge and skills
* Mentorship and coaching from experienced professionals
* Opportunities for career advancement and professional growth
* A dynamic and supportive work environment that encourages collaboration and innovation
**Work Environment and Company Culture**
arenaflex is a remote-friendly company that values flexibility and work-life balance. As a Data Entry Analyst, you'll have the opportunity to work from home and enjoy a comfortable and productive work environment. Our company culture is built on:
* Collaboration and teamwork
* Innovation and creativity
* Continuous learning and development
* Respect and inclusivity
* Open communication and transparency
**Compensation, Perks, and Benefits**
We offer a competitive compensation package that includes:
* A salary range of $60,000 - $80,000 per year, depending on experience
* Comprehensive health insurance, including medical, dental, and vision coverage
* 401(k) retirement plan with company match
* Paid time off and holidays
* Flexible work arrangements and remote work options
* Professional development opportunities and training
**How to Apply**
If you're a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We can't wait to hear from you!