Provider Data Coordinator-2 jobs in United States
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VNS Health · 10 hours ago

Provider Data Coordinator-2

VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. They are seeking a Provider Data Coordinator to perform a variety of administrative duties to support the Provider Operations Department, focusing on provider data management, credentialing, and network configuration.

CharityHealth CareHome Health CareNon Profit

Responsibilities

Maintains current provider demographic information in databases (Salesforce, Facets, Guiding Care) via data entry. Works with vendors to ensure data consistency and quality
Works system errors and exceptions to maintain clean provider data across all systems
Facilitates outreach to providers to test integrity of online provider demographic information. Updates provider data as needed to ensure quality
Monitors updates for provider data intake pathways, including but not limited to, Portal, Online form, mail, fax and email. Coordinates with providers and updates record accordingly
Assists with Claim intake, and creates out of network profiles as necessary
Interfaces internally to investigate provider issues and assist with customer resolution
Processes return mail and return checks; logs data and updates provider record to remediate return mail
Monitors and resolves Provider Claim Pend queue. Escalates issues as appropriate
Obtains required documentation from providers necessary for the establishment of a complete provider record on VNS Health systems, e.g. IRS W9 form
Provides administrative support to the department including filing, mail distribution, preparing reports, and documenting inquiries and requests
Participates in special projects and performs other duties as assigned

Qualification

Provider Data ManagementCredentialingMicrosoft OfficeCommunication SkillsInterpersonal Skills

Required

Associate's Degree in Business, Communications or related field or the equivalent work experience required
Minimum two years experience in health care Payer environment, Credentialing or Provider Data required
Excellent written/oral communication and interpersonal skills required
Proficient in Microsoft Office Applications, including Excel required

Preferred

Bachelor's Degree in Business, Communications or related field or the equivalent work experience preferred
Experience in administering provider relationships preferred

Benefits

Referral bonus opportunities
Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched 401k retirement saving program
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement and CEU credits

Company

VNS Health

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VNS Health provides home care, hospice care, and behavioral health services.

Funding

Current Stage
Late Stage

Leadership Team

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Dan Savitt
President and CEO
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Aman Y. Shah
Vice President, New Ventures & Strategic Partnerships
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Company data provided by crunchbase