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

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without prior notice.