Claims Data Entry Clerk

Claims Data Entry Clerk

At WelbeHealth, we serve our communities’ most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what.

The Claims Data Entry Clerk serves as a crucial first step in claims processing, with direct accountability for timely and accurate analysis and entry of claim information into electronic databases, ensuring data flows smoothly into the system, preventing delays and errors in payments.

This role is different because the Claims Data Entry Clerk at WelbeHealth:

· Works in a setting that serves frail seniors, meaning your precision supports care quality and continuity, not just data accuracy metrics like in traditional claims roles

· Operates as part of an integrated, mission-driven team - your work connects directly with clinicians, finance, and operations to keep care delivery seamless

We care about our team members. That’s why we offer:

· Medical insurance coverage (Medical, Dental, Vision)

· Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days

· 401K savings + match

· Comprehensive compensation package including base pay and bonus

· And additional benefits!

On the day-to-day, you will:

· Accurately enter alphanumeric data, policy numbers, procedure codes, and billing amounts from various documents into databases and claims systems

· Review entries for accuracy, completeness, and consistency against source documents

· Identify and resolve inaccuracies in patient demographics, service codes, coverage details, and missing information

· Sort, file, and organize electronic claim files and supporting records

· Prepare reports, maintain logs, and ensure accurate status updates on claims

· Contact providers or internal teams to gather missing information or clarify claim details

Job requirements include:

· High school diploma required

· Experience in a health plan environment with emphasis on data entry, document sorting, and record keeping

· Minimum of three (3) years of experience in claims data entry in health plans (managed care or PACE preferred)

· Strong understanding of medical terms, abbreviations, and jargon to correctly input data

· Working knowledge in Medicare and Medicaid billing and guidelines

We are seeking a Claims Data Entry Clerk that ideally has experience working in a PACE/healthcare environment. If you’re ready to join a team that values both its participants and team members, we’d love to hear from you!

COVID-19 Vaccination Policy

At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

Our Commitment to Diversity, Equity and Inclusion

At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Beware of Scams

Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to [email protected]