Data Entry Specialist (myNEXUS)
Company: Anthem, Inc
Location: Winston Salem
Posted on: June 25, 2022
SHIFT: Day Job
Your Talent. Our Vision. At myNEXUS, a proud member of the Anthem,
Inc. family of companies, it's a powerful combination. It's the
foundation upon which we're creating greater access to care for our
members, greater value for our customers and greater health for our
communities. Join us and together we will drive the future of
myNEXUS is a technology-driven, care and benefit management service
that enables individuals to live healthier lives in their homes.
Our proven clinical model connects individuals to intelligent care
delivering independence at lower costs. To maximize health
delivery, we consistently leverage our: Innovative Technologies,
Advanced Clinical Expertise, and Proprietary Network Engagement
Platform. We are continuously pioneering ways to optimize health
resources for our clients and their customers. Through our
proprietary network management and engagement programs, we realize
enhancements in quality, outcomes, and care effectiveness.
The Data Entry Specialist performs a variety of duties, with the
primary focus on data entry. This position requires skill in
planning, organizing, and coordinating the delivery of patient care
by myNEXUS monitoring services. The position requires strong
attention to detail, ability to input information from a document
into the myNEXUS system and the ability to self-motivate in a
repetitive environment. This person is responsible for data entry
of Oasis, determining eligibility for benefits, checking status of
authorization, and verification of all information received. The
Data Entry Specialist does not conduct any activities that require
interpretation of clinical information.
+ Follows all PHI guidelines set forth by myNEXUS to ensure
protection of private patient health information.
+ Responsible for managing own work volume and working at a steady
and consistent pace.
+ Accurate entry of OASIS data points into NexLync. Ensures all
fields are populated correctly in NexLync as provided in the OASIS
+ Using discretion and independent judgment in handling patient or
physician complaints received, documents and forwards to
appropriate administrative staff.
+ Recognizes OASIS document and establishes entry system to ensure
OASIS data is entered as efficiently as possible.
+ Escalates abnormal situations to supervisor, making
recommendations for resolution.
+ Assists with fax entry and processing of authorizations as
+ Interacts professionally with all, including co-workers and other
+ Fosters communication among healthcare team on the behalf of the
+ Proficient with myNEXUS systems, operations processes, data
entry, and basic computer skills for generation of daily office
communication and record generation.
+ Answers incoming calls, if needed to assist patients/clients.
+ Process provider requests in a timely and polite manner.
+ Communicates ideas for improvement to the supervisor.
+ Demonstrate proficiency in meeting and exceeding all required
departmental goals and objectives.
+ Reflects knowledge and judgment in decisions and actions within
the job description of the Data Entry Coordinator.
+ Must be able to demonstrate team behavior and must be willing to
promote a team-oriented environment.
+ Maintains complete and accurate patient care records within
+ Demonstrates high level customer service skills, both internally
+ Accepts additional assignments willingly.
+ Supports the Mission and the Core Values of myNEXUS
+ Performs other duties as assigned.
+ Completes all compliance related training and demonstrates
compliance on the job.
+ Adheres to dress code, appearance is neat and clean.
+ Completes annual education requirements.
+ Maintains patient confidentiality as well as following all PHI
guidelines and requirements at all times
+ Reports to work on time and from breaks as scheduled, completes
work within designated time.
+ Follows all company policies related to time records and time off
+ Attends annual review and department in-services, as
+ Attends at staff meetings and one on one meetings as scheduled
and reads all staff meeting minutes and other written documents as
+ Represents the organization in a positive and professional
+ Actively participates in performance improvement and continuous
quality improvement (CQI/QA) activities and programs.
+ Complies with all organizational policies regarding ethical
+ Communicates and demonstrates the mission, ethics and goals of
the Company, as well as the department.
+ Shows proficiency with computer programs which may include
Microsoft Word, Excel, PowerPoint, Outlook and others.
+ Strong administrative, clerical, and organizational skills.
+ Excellent customer service and follow-up skills.
+ Strong attention to detail and accuracy.
+ Strong Data Entry Skills and ability to work in a repetitive
Education and Experience:
+ High School diploma or the equivalent.
+ Ability to read and communicate effectively in English.
+ Ability to read, analyze, and interpret insurance and medical
documents. Must understand and communicate effectively with
providers and insurance representatives.
+ Ability to respond to common inquiries or complaints from
providers, patients or family members.
+ Must demonstrate the willingness to work in a team environment
and be a team player.
+ Possesses the ability to adjust to constantly changing work flows
Anthem, Inc. has been named as a Fortune 100 Best Companies to Work
For - , is ranked as one of the 2020 World's Most Admired Companies
among health insurers by Fortune magazine, and a 2020 America's
Best Employers for Diversity by Forbes. To learn more about our
company and apply, please visit us at careers.antheminc.com. An
Equal Opportunity Employer/Disability/Veteran. Anthem promotes the
delivery of services in a culturally competent manner and considers
cultural competency when evaluating applicants for all Anthem
Keywords: Anthem, Inc, Winston-Salem , Data Entry Specialist (myNEXUS), Administration, Clerical , Winston Salem, North Carolina
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