Provider Coordinator

Job Title: Provider Coordinator
Job Location: Omaha, NE
Job Duration: 6 Months (possibility of extension)
Shift: Mon - Fri, 8:00am - 5:00pm with some flexibility on this. Could be 7:00am - 4:00pm, or 9:00am - 6:00pm, or variations of this.

Job Summary:

• This position is responsible for accurately entering provider demographic and contract affiliation information into the health plan system.
• Must be able to accurately interpret request and enter into the system in such a way that all data is correct and claims adjudication is optimized.

Essential Functions:

• Receive information from outside party(ies) for update of information in computer system(s).
• Analyze by applying knowledge and experience to ensure appropriate information has been provided.
• Load and maintain provider information into computer system(s) with attention to detail and accuracy in a timely manner to meet department standards of turnaround time and quality.
• Audit loaded provider records for quality and financial accuracy and provide documented feedback.
• Assist in system/health plan integration.
• Train current staff and new hires as necessary.
• Assist in system related testing.

Knowledge/Skills/Abilities:

• Excellent attention to detail.
• Ability to enter information in a timely manner.
• Good project management skills.
• Able to meet deadlines and time constraints.
• Strong knowledge of Microsoft office including Outlook, Word, Excel, and Access.
• Ability to learn internal systems QNXT.
• Excellent verbal and written communication skills.
• Ability to abide by Clients policies.
• Maintain regular attendance based on agreed-upon schedule.
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.

Required Education:

• High School Diploma or equivalent GED.

Required Experience:

• 0-2+ years managed care experience.