Job Classification: Clerk
Location: Fully remote
FLSA Status: Non-exempt
Position Type: Non-exempt Full Time, *must be willing to work weekends and certain holidays*

Disclaimer: As an on-site federal contract, this position does require proof of COVID-19 vaccine

General Description:

J29 is a government-focused technology company that has a history of strong
performance for Federal and State agencies. As a Clerk, you will support us and our Partner’s team in handling and processing Medicare Appeals claims that are in the process of being closed out. In support of CMS, you will be responsible for clerical duties related to Late Enrollment Penalty (LEP) claims and Part D Reconsideration Appeals – the prescription drug benefit. Part D can be offered through private companies either as a stand-alone plan, for those enrolled in Original Medicare, or as a set of benefits included with your Medicare Advantage Plan.

The clerk will perform entry level clerical work, such as; data entry, case close outs,
printing of claim documents, mailing, and more administrative tasks. The clerk will work under close supervision, with minimal latitude for the use of initiative and independent judgement.

Performance Standards/Expectations

● All data entered is accurate and does not require correction
● Monthly data quality scores are 98% or greater
● Timeliness goals are met with 99% accuracy

General Experience Requirement:

● Ability to complete general office / clerical tasks

Education Requirement:

● High School Diploma or equivalent

Duties:

● Accurately enters data (key/type) from the Task Order’s internal workflow system into the Medicare Appeals System (MAS).
● Closes cases in the MAS in accordance with Task Order training and CMS MAS
requirements
● Uploads all relevant case file documents to the appropriate case when closing the case in MAS.
● When entering data, watch for any data inconsistencies or issues and elevate concerns to the manager.
● Corrects data in the MAS pursuant to weekly-distributed reports.
● May print, fold, stuff envelopes, and mail letters, as directed.
● May fax effectuation notices to plans and record plan proof of effectuations in the TOI internal workflow system and the MAS.
● Performs imaging and indexing activities, as directed and required.
● Participates in special projects and performs other duties as assigned.

Skills and Abilities:

Basic Knowledge of:

● Applicable laws, rules and regulations
● Applicable systems and applications
● Automated record-keeping methods
● Customer service concepts
● Inventory control procedures

Basic Skill in:

● Customer service/customer relations
● Preparing and maintaining records, files and reports
● Preparing correspondence/documents using correct spelling, grammar and punctuation; proofreading and reviewing documents for clarity and consistency
● The responsibilities associated with administrative and office procedures to include the use of proper business telephone etiquette, internal communication strategies and use of basic office equipment
● The responsibilities associated with administrative practices and procedures to include writing, editing and report writing techniques, record keeping and records management
● The use of basic mathematical fundamentals

Proficient skill in:

● Accurate data entry
● Maintaining effective working relationships with others
● Communicating information effectively
● The use of personal computers and applicable programs, applications and systems

Ability to:

● Pass a background check before being allowed access to the Government’s system
● Multitask and meet deadlines
● Exercise logic and reasoning to define problems, establish facts and draw valid
conclusions
● Make decisions that support business objectives and goals
● Identify and resolve problems or refer issues appropriately
● Communicate effectively verbally and in writing
● Adapt to the needs of internal and external customers
● Show integrity and ethical behavior; respect confidentiality, business ethics and
organizational standards
● Assure compliance with regulatory, contractual and accreditation entries

J29, Inc. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. J29, Inc. is a proud Veteran friendly employer.'

Job Types: Full-time, Temporary

Pay: $15.00 - $16.25 per hour

Schedule:

• 8 hour shift
• Holidays
• Weekend availability

Experience:

• Computer operation: 2 years (Required)

Work Location: Remote

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