Skip to main content
Tallo logoTallo logo
Apply for this opportunity

This job application is on an outside website. Be sure to review the job posting there to verify it's the same.

Apply Offsite

Healthcare Claims Data Entry & Verification Specialist

Job

Fusion Global Technologies and Solutions Inc

Pierre, SD (In Person)

$55,660 Salary, Full-Time

Posted 4 weeks ago (Updated 5 days ago) • Actively hiring

Expires 7/14/2026

Review key factors to help you decide if the role fits your goals.
How is this calculated?
Pay Growth
?
out of 5
Not enough data
Not enough info to score pay or growth
Job Security
?
out of 5
Not enough data
Calculating job security score...
Total Score
62
out of 100
Average of individual scores

Were these scores useful?

Skill Insights

Compare your current skills to what this opportunity needs—we'll show you what you already have and what could strengthen your application.

Job Description

Job Description - Data Entry, Processing, Review, and Verification Supportsome onsite/virtual collaboration We are seeking a qualified individual to perform data entry, processing, review, verification, and related administrative support activities. Responsibilities include, but are not limited to: Performing accurate and timely data entry. Reviewing records, files, and supporting documentation for completeness and accuracy. Utilizing various systems for processing, reviewing, and verifying data, including mainframe systems, Datacap, Provider Enrollment Portal, and File Director. Applying knowledge of claims documents, including CMS-1500 and
UB-04/CMS-1450
forms. Verifying data against multiple sources manually and through technology-based tools for claim verification. Indexing claims and related documentation. Applying established policies, procedures, processes, and protocols for data entry, processing, review, and verification. Conducting provider or stakeholder outreach as needed. Monitoring assigned activities to ensure completion within established deadlines. Performing quality control reviews to confirm work meets required expectations. Completing other administrative, documentation, and data entry tasks as assigned. Required Qualifications and Experience The qualified individual or firm should demonstrate: Proven experience performing similar data entry, processing, review, verification, and administrative support services for public-sector, healthcare, or claims-related programs. Thorough familiarity with Datacap, Provider Enrollment Portal, File Director, and claims-related documentation. Strong understanding of policies, procedures, processes, and protocols related to data verification, activity completion deadlines, and quality control functions. Experience with provider enrollment, provider support, stakeholder communication, and outreach processes. Ability to scale services up or down as needed to meet workload requirements, as demonstrated through past performance. Availability of qualified staff and secure, HIPAA-compliant office capabilities to support the work order requirements.
Pay:
$24.28 - $29.24 per hour
Work Location:
In person