What are the responsibilities and job description for the Provider Demographic Coordinator position at Mediabistro?
Description
Medica's Provider Demographic Coordinator is responsible for accurately and efficiently entering new demographic information into databases such as COPIS, HealthRules, COSMOS / NDB, and Symfact. This role ensures that provider demographic records are maintained and updated to support accurate claims processing and network reporting, which directly impacts both members and providers.The Coordinator will collaborate with multiple internal departments to ensure that provider data is correct and up-to-date for Medica members, employer groups, brokers, providers, and regulatory agencies. It is essential that the Coordinator understands the upstream and downstream effects of accurate data entry and is able to identify and communicate potential impacts.This position requires the ability to interpret and process provider demographic requests, ensuring that information is entered correctly across various systems. Experienced staff members in this role will also assist in updating policies and procedures, as well as training new staff on demographic transactions.The Coordinator works in a production-oriented environment and is expected to meet established production and quality standards. The ability to manage shifting priorities and adapt to change is essential.QualificationsHigh School Diploma or equivalent required2 years of relevant work experienceExperience with COPIS or HealthRules databases is preferred
Skills and AbilitiesProficiency in PC software (Word, Excel, Access, and Outlook)Ability to work effectively in a fast-paced, changing environmentCapable of meeting production, quality, and turnaround time standardsQuick learner, able to adapt to changes in the industry and operational processesStrong ability to prioritize tasks and focus on outcomesDetail-oriented with a focus on accuracyAbility to work both independently and as part of a teamProfessional and courteous demeanor
This position is a Remote role and will work remotely 100% of the time. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.The full salary range for this position is $40,500 - $69,400. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and / or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity / Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Salary : $40,500 - $69,400
