Claims Data Entry Clerk – Remote US

Claims Data Entry Clerk – Remote Healthcare Operations | Full-Time, Work From Home Opportunity with careerzynith

Are you a detail-oriented professional with a passion for accuracy, data integrity, and supporting critical healthcare operations? Do you thrive in a structured, independent remote work environment where your precision directly impacts the quality of care delivered to millions of Americans? If so, careerzynith invites you to explore an exciting career opportunity as a Claims Data Entry Clerk – Remote Healthcare Operations Specialist supporting our valued WI TXIX HealthCare Account client.

At careerzynith, we believe that great companies are built on the foundation of exceptional teams. For more than two decades, we have partnered with leading public and private sector organizations to solve complex business challenges, streamline operations, and enhance the way work gets done. Our professionals are the engine behind some of the most important programs in the country, and we are proud to be recognized as an employer of choice for those who value flexibility, professional growth, and meaningful work.

This is not a typical call center position. It is a focused, behind-the-scenes opportunity for someone who finds deep satisfaction in accuracy, organization, and process excellence. You will play a vital role in transforming paper claims and supporting documents into clean, accurate digital records that fuel downstream workflows, reimbursement cycles, and healthcare provider payments. If you are a fast, accurate typist who enjoys working independently and takes pride in producing high-quality work, this role is built for you.

Position Overview

As a Claims Data Entry Clerk at careerzynith, you will serve as a key contributor on our WI TXIX HealthCare Account support team. Your primary mission will be to accurately and efficiently process incoming paper claims and related documentation, converting them into digital formats using Microsoft Office tools, with a particular emphasis on Excel. Your work will directly support the operational goals of our client, ensuring that claims move smoothly through the adjudication pipeline and that downstream teams have the reliable data they need to make informed decisions.

This is a fully remote, work-from-home position open to candidates located anywhere in the United States. You will work independently with minimal supervision, managing your own workload, prioritizing tasks, and meeting daily, weekly, and monthly production goals.

Key Responsibilities

• Accurate Data Conversion: Process high volumes of paper claims, medical documents, and supporting paperwork by entering critical information into electronic systems and databases using Microsoft Office programs, with heavy emphasis on Microsoft Excel.
• Quality Assurance & Verification: Review every entry against source documents to confirm accuracy, completeness, and adherence to client specifications. Identify and correct discrepancies before claims are released to the next stage of processing.
• Compliance Adherence: Follow established contract requirements, business unit rules, legal regulations, and client-specific guidelines at all times. Maintain a strong understanding of HIPAA and other healthcare data handling standards.
• Instruction Interpretation: Carefully follow both written and verbal instructions, including complex multi-step procedures communicated through email, instant messaging, training documents, and team meetings.
• Multi-Task Management: Balance multiple projects, work queues, and priorities simultaneously while consistently meeting deadlines and productivity targets.
• Workflow Communication: Proactively communicate with team leads, supervisors, and internal stakeholders regarding issues, questions, or escalations that arise during the data entry process.
• Continuous Improvement: Identify opportunities to improve personal efficiency and accuracy, and share ideas for process enhancements with the broader operations team.
• Documentation & Reporting: Maintain accurate logs of work completed, productivity metrics, and any unusual or non-standard claims that require additional review.

Essential Qualifications

To be considered for this role, candidates must meet the following baseline requirements:

• Microsoft Office Proficiency: Demonstrated experience working with Microsoft Office Suite, particularly Microsoft Excel. You should be comfortable navigating spreadsheets, formulas, formatting, and basic data manipulation.
• Typing Speed & Accuracy: Excellent typing skills with a minimum sustained speed of 60 words per minute (WPM) and a high degree of accuracy.
• Attention to Detail: A meticulous eye for detail and a strong commitment to producing error-free work, even when processing repetitive or high-volume tasks.
• Communication Skills: Strong written and verbal communication skills, with the ability to clearly document issues, ask clarifying questions, and follow complex instructions delivered via various communication channels.
• Time Management: The ability to manage multiple tasks and projects simultaneously, prioritize effectively, and consistently meet deadlines in a production-driven environment.
• Independent Worker: A self-motivated, disciplined approach to working from home with minimal direct supervision. You take ownership of your work and proactively seek solutions.
• Instruction Following: The ability to grasp and consistently follow complex, multi-step procedures, even when they evolve or change based on client requirements.
• High School Diploma or Equivalent: A high school diploma, GED, or equivalent combination of education and experience is required.

Preferred Qualifications

While not required, the following qualifications will help you stand out as a candidate:

• Prior experience in medical claims processing, healthcare data entry, or insurance operations.
• Familiarity with HIPAA regulations and protected health information (PHI) handling requirements.
• Experience working in a remote or telework capacity previously.
• Exposure to claims adjudication systems, Medicaid, Medicare, or TXIX (Texas Medicaid) workflows.
• Basic knowledge of medical billing codes such as ICD-10, CPT, or HCPCS.
• Prior experience supporting state or federal government healthcare programs.

Skills and Competencies for Success

Beyond the technical qualifications listed above, the most successful Claims Data Entry Clerks at careerzynith tend to share the following characteristics:

• Reliability and Accountability: You show up on time, every time. You meet your production goals consistently and own your results.
• Resilience and Focus: You can maintain focus during repetitive tasks and avoid burnout through disciplined work habits.
• Adaptability: You embrace change, learn new systems quickly, and adjust to evolving client requirements with a positive attitude.
• Problem-Solving Mindset: When you encounter a problem, you don't just escalate immediately — you investigate, document, and propose solutions when possible.
• Integrity and Discretion: You understand the importance of handling sensitive medical and personal information with the utmost care and confidentiality.

Career Growth and Learning Opportunities at careerzynith

At careerzynith, we are deeply committed to the professional development of every team member. When you join us as a Claims Data Entry Clerk, you are not just taking a job — you are stepping onto a career path with multiple avenues for growth. We offer:

• Structured Onboarding and Training: Comprehensive paid training programs that set you up for success from day one, including system-specific instruction, healthcare industry context, and ongoing coaching.
• Leadership Development Academies: careerzynith offers a variety of leadership academies designed to help emerging talent build supervisory and management skills for future roles.
• Technical Skill Development: Access to technical development programs and continuing education resources to help you build expertise in healthcare operations, data analytics, and beyond.
• Tuition Reimbursement and Educational Assistance: We support your continued learning through educational assistance programs, including tuition reimbursement for relevant coursework and certifications.
• Promotion from Within: Many of our supervisors, team leads, operations managers, and senior leadership team members started in roles just like this one. We are proud of our promote-from-within culture.

Work Environment and Company Culture

careerzynith fosters a culture that values work flexibility, learning, career development, and work-life balance. As a fully remote employee, you will be able to design a workspace and routine that supports your best performance. We provide:

• A supportive, virtual-first work environment where communication and collaboration are prioritized.
• Generous, flexible paid time off policies for all salaried, full-time employees.
• Comprehensive health benefits for you and your family.
• A 401(k) plan with a generous employer match to help you plan for your future.
• Educational assistance and access to internal training academies.
• An inclusive, diverse workplace where every voice is valued.

Our team members consistently tell us that careerzynith feels different. We are large enough to offer stability, comprehensive benefits, and meaningful work, but small enough that every individual contribution is recognized and appreciated. We believe that our employees' well-being fuels our collective success, and we are proud to be a place where you can build a long-term career.

Compensation and Benefits

The pay range for this position is $30,500 – $43,500 per year, depending on geographic location, internal equity, job-related knowledge, skills, and experience. In addition to competitive base pay, all salaried, full-time candidates are eligible for:

• Generous, flexible paid time off and vacation policy.
• 401(k) plan with employer match.
• Comprehensive medical, dental, and vision health benefits.
• Educational assistance and tuition reimbursement programs.
• Access to leadership and technical development academies.
• Life insurance, disability coverage, and additional voluntary benefits.

Remote Work Requirements

To effectively perform the responsibilities of this telework role, you will need:

• A reliable, distraction-free home office environment.
• Broadband Internet connection with a minimum download speed of 24 Mbps and upload speed of 8 Mbps. Higher speeds are recommended for optimal performance.
• A computer and any additional equipment supplied or approved by careerzynith.
• The ability to participate in video interviews using your camera. Video cameras are required to be on during all interviews and certain team meetings.

How to Apply

If you are a fast, accurate, and dependable data entry professional ready to put your skills to work for a purpose-driven organization, we encourage you to apply today. Join careerzynith and become part of a team that is transforming healthcare operations and making a measurable difference in the lives of millions of Americans. Your precision, your commitment to quality, and your drive to grow will find a home here.

Apply Now and Start Your Career Journey with careerzynith

careerzynith is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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