Data Entry Specialist --NARDC5784028

Title Data Entry & Claims Processing Specialist

Duration 36 Months (June 1, 2026 – May 31, 2029)

Location South Dakota (Onsite/Virtual Collaboration)

Duration of the Contract: 36 Months

Possibility for Extension: Yes (Subject to contract terms)

Daily Duties / Responsibilities:

• Data entry.

• Reviewing records and documentation.

• Utilizing various systems for processing, reviewing, and verifying data such as mainframe, Datacap, Provider Enrollment Portal, and File Director.

• Knowledge of claims documents including CMS-1500 and UB-04 CMS-1450.

• Verifying data against various sources both manually and through technology for claim verification.

• Indexing claims.

• Application of policies and procedures for data entry, processing, review, and verification.

• Provider or stakeholder outreach.

• Monitoring completion of activities by established deadlines.

• Conducting quality control of work to show adherence expectations.

• Other administrative and data entry tasks as assigned.

Required Skills (Rank In Order Of Importance):

• Experience performing data entry, processing, review, and verification tasks.

• Familiarity with Datacap, Provider Enrollment Portal, File Director, and mainframe systems.

• Knowledge of claims processing (CMS-1500, UB-04 CMS-1450).

• Understanding of policies, procedures, and protocols for data verification and quality control.

• Experience in provider enrollment and stakeholder outreach.

• Ability to meet deadlines and monitor task completion.

• Strong attention to detail and accuracy in data handling.

Preferred Skills (Rank In Order Of Importance):

• Prior experience working with DSS or similar government agencies.

• Proven track record of handling similar scope of work.

• Ability to scale services based on project needs.

• Experience working in HIPAA-compliant environments.

• Office presence or operational capability in South Dakota (Pierre/Rapid City).