Data Entry Specialist

Pay: $23.00 - $31.00/hour

Work model: Remote

Position summary

You’ll support member services operations for a federal healthcare program by reviewing and processing applications, certifications, transfers, appeals, documentation, and service requests. The role focuses on accuracy, compliance, data processing, and clear communication with members, providers, and internal teams.

What you’ll do

• Process enrollment applications, certifications, transfers, appeals, representative appointments, and related updates.
• Review submitted materials for completeness, accuracy, and eligibility.
• Analyze documentation to determine whether program enrollment requirements are met.
• Enter and update information in member services systems, digital mail tools, portals, and document processing platforms.
• Maintain accurate case notes, documentation, and processing records.
• Communicate with members, providers, and internal teams regarding missing information, documentation requirements, and status updates.
• Escalate complex or unclear cases to the appropriate supervisor.
• Follow privacy requirements when handling personally identifiable and protected health information.
• Support quality assurance activities by identifying errors, trends, and workflow improvements.
• Participate in cross-training across enrollment, record updates, appeals, and member correspondence.
• Provide feedback on workflow challenges, system issues, and improvement opportunities.

Required qualifications

• High school diploma or equivalent.
• 1 - 3 years of experience in processing, administrative support, data entry, customer service, or a related operational role.
• Strong written and verbal communication skills.
• Strong attention to detail and accuracy.
• Ability to review documentation and determine whether it meets established requirements.
• Ability to follow detailed procedures and meet deadlines.
• Ability to adapt to changing priorities.
• Ability to obtain and maintain a Public Trust clearance.

Preferred experience

• Experience supporting federal health programs or healthcare operations.
• Experience with intelligent document processing tools.
• Experience with member service portals or customer support platforms such as ServiceNow or CXone.

Benefits

• 401(k) with company match.
• Comprehensive health and wellness programs.
• Paid vacation and holidays.
• Paid education and certification opportunities.
• Professional growth and internal mobility opportunities.