Provider Demographic Coordinator

About the role

Our client, a well-established nonprofit health plan serving members, employer groups, brokers, and providers across the Upper Midwest, is seeking a Provider Demographic Coordinator to join their operations team. This role sits at the heart of the organization's data integrity efforts, ensuring that provider demographic information is loaded accurately and on time to support claims processing and network reporting. The ideal candidate is analytical, self-motivated, and independent, yet collaborates effectively across teams. They can follow complex processes and procedures, are highly detail-oriented, and have the ability to troubleshoot errors while consistently maintaining accuracy.

Responsibilities

• Enter provider demographic information into various databases including COPIS, COSMOS/NDB, and/or Symfact
• Ensure timely loading of new demographic information into designated databases
• Maintain provider demographic records as changes occur to ensure accuracy for claims processing and network reporting
• Collaborate with multiple internal departments to ensure provider demographic data is accurate for members, employer groups, brokers, providers, and regulatory agencies
• Understand and communicate the upstream and downstream impacts of loading correct data
• Interpret provider demographic requests and translate the information for optimal data loading into multiple systems
• Update policies and procedures and train staff on demographic transactions (tenured staff)
• Function within a production environment while consistently meeting production and quality standards

Qualifications

• Associate's degree, or equivalent working experience
• 1+ years of administrative work experience
• Working knowledge of PC software, including Microsoft Word, Microsoft Excel, Microsoft Access, and Microsoft Outlook
• Demonstrated ability to work in a rapidly changing environment
• Strong attention to detail with a focus on accuracy and quality
• Ability to meet standards for production, quality, and turn-around time
• Ability to prioritize multiple tasks with a focus on results versus activity
• Ability to work independently as well as part of a team
• Professional and courteous demeanor

Preferred Qualifications:

• COPIS database knowledge
• Ability to learn quickly and adapt to a changing industry and operational environment

Work Arrangement

This position is approved for Hybrid (HUB) or Remote work. Candidates must reside in one of the following states: AR, AZ, DE, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.

Remote Work Requirements:

• Ability to maintain a professional work environment free from distractions (family members, roommates, and/or pets)
• On-camera participation required for all meetings and trainings
• Minimum internet speed requirements:
  • Upload speed: 5+ Mbps
  • Download speed: 25+ Mbps
  • Ping: Less than 100 ms