Data Entry Specialist, Healthcare Billing – Remote
About This Position
The Data Entry Specialist is responsible for accurately submitting prepared federal Independent Dispute Resolution (IDR) cases for TotalCare's emergency room facilities through the designated federal IDR portal.
Job Description
This role requires a high level of attention to detail, strong organizational skills, and a commitment to meeting filing deadlines while maintaining the accuracy and integrity of case information. The specialist is expected to follow established procedures, maintain complete and accurate records, protect confidential information, and communicate promptly to resolve issues that may affect filing accuracy or timeliness. The role sits in the ER Out-of-Network Revenue Cycle team (US Desk) and works with onshore and offshore billing teams and designated support teams.
Responsibilities
- IDR Case Filing & Queue Management: Manage the daily queue of prepared cases and prioritize them by filing deadlines
- IDR Case Filing & Queue Management: Enter case information into the federal IDR portal
- IDR Case Filing & Queue Management: Upload required documentation and supporting files
- IDR Case Filing & Queue Management: Verify each portal entry against the prepared case before submission. Submit only when all required fields and documents match
- IDR Case Filing & Queue Management: Record the portal dispute number, save the submission confirmation, and update the internal system to reflect that the case has been filed
- Quality Control & Exception Handling: Return cases to the billing team with a clear, specific explanation when information is missing, inconsistent, or does not match the supporting documentation
- Quality Control & Exception Handling: Do not independently change case data or make unsupported assumptions; obtain clarification or corrected information from the responsible team
- Quality Control & Exception Handling: Raise questions with the designated support team and follow through until the issue is resolved
- Quality Control & Exception Handling: Escalate any case that may miss its filing deadline on the same day the risk is identified
- Quality Control & Exception Handling: Identify recurring errors or workflow issues and recommend improvements to the checklist or internal filing tool
- Documentation, Communication & Compliance: Maintain complete and accurate filing records in the designated systems
- Documentation, Communication & Compliance: Communicate clearly and promptly with onshore and offshore colleagues
- Documentation, Communication & Compliance: Protect patient information and follow HIPAA requirements, company policies, and approved security procedures at all times
- Documentation, Communication & Compliance: Use company-approved systems, equipment, and access methods when handling case information
- Performance Measures: Performance is evaluated on accuracy and deadline compliance first, followed by efficiency. Targets apply after the required training period. Processing speed must never take priority over accurate, complete, and timely filing
- Performance target: zero entry errors
- Performance target: zero missed filing deadlines
- Performance target: average processing time of 15 minutes or less per case
- Performance target: 100% of cases ready by 11:00 a.m. Central Time filed the same day
- Performance target: 100% of returned cases include a clear and correct reason
- Performance target: zero patient-information incidents
Requirements
- Must reside in the United States and be authorized to work in the United States. All work must be performed from within the United States
- Typing speed of at least 60 words per minute with a high level of accuracy
- Comfort using web-based portals, ClickUp, Google Workspace, and PDF documents
- Strong attention to detail and a consistent habit of checking work before submission
- Ability to follow documented procedures, manage deadlines, and raise questions promptly when information is unclear or inconsistent
- Clear written communication and the ability to work effectively with remote, cross-functional teams
- Ability to successfully complete the company's required background check
- Success Profile: Prioritizes accuracy, completeness, and deadline compliance over speed alone
- Success Profile: Follows the approved checklist consistently and verifies work before submission
- Success Profile: Takes ownership of assigned cases and communicates risks early
- Success Profile: Asks questions rather than guessing when information is missing or inconsistent
- Success Profile: Maintains confidentiality and handles patient information responsibly
- Success Profile: Communicates clearly, professionally, and concisely
- Success Profile: Contributes to continuous improvement by identifying recurring issues and practical workflow improvements
- Work from home: Maintain a private, quiet workspace where patient information and work screens cannot be viewed by unauthorized individuals
- Work from home: Have reliable high-speed internet access
- Work from home: Use only company-provided equipment and approved secure access methods for work
- Work from home: Perform all work from within the United States. Working from outside the United States is not permitted, including temporarily
- Work from home: Remain available through approved communication channels, including camera and chat when required during the scheduled shift
Schedule
- Full-time, fully remote (work from home)
- Monday–Friday, 8 hours per day
- Shifts scheduled between 6:00 a.m. and 5:00 p.m. Central Time
Education & Certifications
- High school diploma or equivalent
- At least one year of experience in data entry; medical billing, claims processing, insurance operations, or a related field are a plus
Work Location
Remote – must reside in and work from within the United States
Work Remotely
Yes
Job Category: Data Entry Specialist, Healthcare Billing Job Type: Full Time Job Location: Remote (United States)
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