Provider Maintenance Coordinator

PRIMARY PURPOSE : To maintain data related to provider reimbursements, physical locations, and billing locations in multiple system environments for participating providers and non-participating providers; and to ensure system integrity and accuracy.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Enters provider agreements according to the identified reimbursement.
• Processes provider updates and address changes including additions and changes related to claims addresses.
• Requests required documentation from providers in and outside of the network.
• Coordinates and prepares provider data for printing provider directories.
• Assists with provider mailings.
• Performs other duties as assigned

QUALIFICATIONS

Education & Licensing

High School diploma or GED required.

Experience

Two (2) years data entry experience or equivalent combination of education and experience required. Experience in the healthcare field or worker's compensation field preferred.

Skills & Knowledge

• Knowledge of data entry and organization
• Strong customer service and telephone skills
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Strongly detail oriented
• Analytical and interpretive skills
• Strong organizational skills
• Excellent negotiation skills
• Ability to work independently in a team environment
• Ability to take initiative and follow through
• Ability to manage multiple priorities
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

TAKING CARE OF YOU BY

• We offer a diverse and comprehensive benefits package including:
  • Three Medical, and two dental plans to choose from.
  • Tuition reimbursement eligible.
  • 401K plan that matches 50% on every $ you put in up to the first 6% you save.
  • 4 weeks PTO your first full year.