Claims Data Entry Clerk

🚨 We’re Hiring: Data Entry / Claims Processing Specialists 🚨📌 Job Title: Data Entry, Processing, Review & Verification 🏢 Client: Department of Social Services – Division of Medical Services 📍 Location: Pierre, South Dakota (On-site with remote collaboration flexibility) 💼 Employment Type: Contract (36 Months) 📅 Duration: June 1, 2026 – May 31, 2029 🔍 Role OverviewWe are looking for detail-oriented professionals to support data entry, claims processing, review, and verification activities. This role involves working with healthcare claims, ensuring data accuracy, compliance, and meeting strict timelines.✅ Key ResponsibilitiesPerform data entry and processing of claims and related recordsReview and validate documentation for accuracy and completenessWork with systems like Mainframe, Datacap, Provider Enrollment Portal, and File DirectorHandle claims forms such as CMS-1500 and UB-04 (CMS-1450)Conduct data verification and quality control checksOrganize and index claims documentationSupport provider/stakeholder communication and outreachEnsure timely completion of assigned tasks🎯 Required QualificationsExperience in data entry, processing, and verificationKnowledge of healthcare claims and documentationFamiliarity with Datacap, Provider Enrollment Portal, and File DirectorUnderstanding of CMS-1500 and UB-04 formsStrong attention to detail and ability to meet deadlines⭐ Preferred QualificationsExperience with government or Medicaid programsKnowledge of HIPAA complianceExperience in provider enrollment and stakeholder engagement💡 Core SkillsAttention to detail & accuracyStrong organizational skillsAnalytical thinkingEffective communicationProcess-driven and quality-focused mindset🏢 Work EnvironmentHybrid (Remote + On-site collaboration as needed)Vendor must maintain operational presence in Pierre, SD and HIPAA-compliant office in Rapid City, SD📄 Submission RequirementsUpdated ResumeProfessional ReferencesRelevant experience in claims processing & data verification