Provider Demographic Coordinator

The Provider Demographic Coordinator is responsible for the timely loading of new demographic information into the COPIS, COSMOS, HealthRules, NDB, and/or Symfact databases. The Coordinator will maintain provider demographic records, as changes occur, to ensure accuracy for claims processing, financial utilization reporting and network reporting, including Access and Availability, directories and regulatory product filings, all of which have direct impact on the member and the provider.

This position involves working with customers from multiple internal Medica departments to collaboratively ensure provider demographic data is accurate for Medica members, employer groups, brokers, providers and regulatory agencies. It is important that the Coordinator fully understands the upstream and downstream impacts of loading correct data and possess the ability to recognize and communicate potential downstream impacts.

The Provider Demographic Coordinator will need to understand provider demographic requests and translate the information in a manner which allows for optimal data loading into multiple systems.

The Provider Demographic Coordinator functions within a production environment and is expected to meet production and quality standards. At times the Coordinator will be faced with shifting priorities, which will require the need for appropriate prioritization of work and adaption to change. This position involves providing feedback and suggestions to improve processes and/or the supporting documentation.

Qualifications:

• Minimum requirement is HS diploma, or equivalent
• 2+ years of related work experience

Skills and Abilities:

• Working knowledge of PC software (Word, Excel, Access, and Outlook)
• COSMOS, COPIS, or HealthRules database knowledge preferred
• Accountable: Able to meet standards for production, quality and turn-around time
• Quick Learner: Able to learn quickly and respond to a changing industry and operational environment
• Results Focused: Ability to prioritize multiple tasks with a focus on results versus activity
• Quality Focused: Attention to accuracy is critical
• Ability to work as an individual and also as part of a team
• Demonstrated ability to deal with customers and rapid changing environment
• Professional and courteous demeanor
• Identify and recommend process or technology improvements

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.

We are an Equal Opportunity 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.