System Data Coordinator
Job Description
POSITION SUMMARY:
Responsible for ensuring the integrity and accuracy of provider data in all applications. In addition, expected to work collaboratively with all internal and external stakeholders to meet and / or exceed all regulatory and contractual provider data quality and accuracy standards.
QUALIFICATIONS:
- Associate degree preferred or two to four years of experience and/or training in a managed care setting; or equivalent combination of education and experience.
- Knowledge of Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access, Epic (preferred)
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Supports and maintains our Master Provider Data records in the Epic Tapestry System.
- Adds new network providers, vendors, and places of service to the Epic Tapestry System.
- Updates Epic Tapestry System of all provider demographic changes daily. Works with third party vendors and Providers to keep our Master Provider Data up to date with timely and accurate changes.
- Responds to operational problems and provides user support.
- Maintains and develops workflows to ensure all updates are handled timely.
- Maintains and develops Standard Operating Procedures (SOP's)
- Maintains accuracy of provider data while also maintaining productivity goals.
- Responsible for maintaining our Provider Network Verification (PNV) database daily to meet government contractual obligations.
- Responsible for reviewing and resolving daily tasks that are tracked via tickets in our Customer Relationship Management (CRM) system.
- Other responsibilities assigned.
This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.
SKILLS AND ABILITIES:
- Attention to detail to ensure accuracy of Provider Data.
- Ability to communicate language skills in English.
- Strong written and verbal communication skills.
- Ability to speak clearly and concise.
- Time management skills.
- Ability to manage multiple priorities in a fast-paced environment.
- Ability to meet deadlines.
WORK SCHEDULE:
As a continued effort to provide a safe and productive work environment, Community Care Plan is currently following a hybrid work schedule. Staff are able to work from home 3 days a week and will report to the office 2 days a week. *****The company reserves the right to change the work schedules based on the company needs.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 15 pounds.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion.
Date Posted
07/28/2022
Views
6
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