Health Plan Request Team-Data Entry and Validation Specialist

Data Entry and Validation Specialist
Position Summary
The Data Entry and ValidaƟon (DE&V) Specialist reports to the HPR DE&V Team Manager and supports project intake and uploads into VRM. This role serves as a key liaison between operations staff and the HPR Account Specialists, working with both internal and external clients to facilitate health plan requests.
Duties & Responsibilities:

Triages inventory received by the Health Plan Request Team against Verisma’s facility site list by determining the appropriate Verisma client or identifying if it is not associated with Verisma
Communicates regularly with the HPR Account Specialists regarding the files they are handling
Adhere to established guidelines from facilities and requestors concerning fees, exceptions, and standard intake procedures
Remains current on facility and requestor requirements, including specialized instruction, rates, and approval protocols
Data enter faxed requests from facilities
Upload high-volume health plan requests into VRM batches efficiently
Processes single patient health plan requests using the ROIS App
Produce clear, professional patient lists from Excel inventory files
Update inventory files and team trackers consistently
Responds promptly to emails to prevent any delays in processing
Conduct daily reviews of uploaded batches to confirm successful completion
Addresses errors or omissions immediately upon identification or notification
Develop expertise in navigating both the VRM and ROIS App platforms
Adapt quickly to last-minute changes in work assignments directed by the DE&V Team Manager, particularly for escalating inventory
Manage communications with professionalism in alignment with established standards and metrics
Maintains positive and effective relationships with clients and requestors
Perform other appropriate duties, as assigned, to meet the needs of the department and the company
Live by and promote Verisma core values


Minimum Qualifications

High school diploma or GED equivalent required
Able to multi-task and use numerous resources to ensure facility protocols are followed
Strong project management skills
Ability to work effectively and independently in high volume and fast paced environments
Desire to improve processes to create sustainable robust systems
Microsoft Excel proficient
Exceptional interpersonal skills and capacity to build effective relationships with co-workers and clients
Strong level of patience to resolve issues