Provider Demographic Coordinator

Title
:
Provider Demographic Coordinator

Location
:
Remote or HUB | Must work in one of the following states: AR, AZ, DE, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.

Job Type
:
Contract (4 Months+)

Compensation
: $ per hour

Industry
:
Health Insurance

Our client, a well-established nonprofit health plan serving members, employer groups, brokers, and providers across the Upper Midwest, is seeking a Provider Demographic Coordinator to join their operations team. This role sits at the heart of the organization's data integrity efforts, ensuring that provider demographic information is loaded accurately and on time to support claims processing and network reporting.

The ideal candidate is analytical, self-motivated, and independent, yet collaborates effectively across teams. They can follow complex processes and procedures, are highly detail-oriented, and have the ability to troubleshoot errors while consistently maintaining accuracy. If you thrive in a production-driven environment and take pride in getting the details right, this is an excellent opportunity to contribute to work that directly impacts members and providers.

• 8 hours per day, flexible around the client's core business hours of 9:00 AM - 3:00 PM CST

• This position is approved for Hybrid (HUB) or Remote work.
• Candidates must reside in one of the following states: AR, AZ, DE, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.

The Provider Demographic Coordinator is responsible for all tasks related to the setup of provider demographics, including entering provider demographic information into various databases. Specific responsibilities include:

• Data Loading:
  Ensure the timely loading of new demographic information into the COPIS, COSMOS/NDB, and/or Symfact databases.
• Record Maintenance:
  Maintain provider demographic records as changes occur to ensure accuracy for claims processing and network reporting, both of which directly impact members and providers.
• Cross-Functional Collaboration:
  
  Work with customers from multiple internal departments to collaboratively ensure provider demographic data is accurate for members, employer groups, brokers, providers, and regulatory agencies.
• Impact Awareness:
  Fully understand the upstream and downstream impacts of loading correct data, and possess the ability to recognize and communicate potential downstream impacts.
• Data Translation:
  Learn to interpret provider demographic requests and translate the information in a manner that allows for optimal data loading into multiple systems.
• Knowledge Sharing (Tenured Staff):
  Serve as a resource in updating policies and procedures and in training staff on demographic transactions.
• Production Standards:
  Function within a production environment while consistently meeting production and quality standards.

• Associate's degree, or equivalent working experience
• 1+ years of administrative work experience
• Working knowledge of PC software, including:
• Microsoft Word
• Microsoft Excel
• Microsoft Access
• Microsoft Outlook
• Demonstrated ability to work in a rapidly changing environment
• Strong attention to detail with a focus on accuracy and quality
• Ability to meet standards for production, quality, and turn-around time
• Ability to prioritize multiple tasks with a focus on results versus activity
• Ability to work independently as well as part of a team
• Professional and courteous demeanor

• COPIS database knowledge
• Ability to learn quickly and adapt to a changing industry and operational environment

• Candidates must be able to maintain a professional work environment free from distractions (family members, roommates, and/or pets).
• Being on camera is required for all meetings and trainings.
• Internet speed tests are required for all candidate submittals:
• Save a screenshot of the results and attach it to the submittal (similar to a resume).
• Minimum internet speed requirements:
• Upload speed: 5+ Mbps
• Download speed: 25+ Mbps
• Ping:
  Less than 100 ms

Dahl Consulting is proud to offer a comprehensive benefits package to eligible employees that will allow you to select the best coverage to meet your family’s needs. For details, please review the DAHL Benefits

Summary:

As an equal opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us. We look forward to meeting you!