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Electronic Data Interchange

4 months ago

Concord, United States Northeast Delta Dental Full time

EDI Coordinator

Northeast Delta Dental in Concord, NH is seeking to hire a full-time, hybrid, Electronic Data Interchange (EDI) Coordinator who will provide accurate, secure, and expedited enrollment for employer groups and Third-Party Administrators (TPAs). Do you have the desire to work with a company that values and respects you? Are you ready for a life-changing opportunity? Are you determined to make a smart career move? If so, please read on

This EDI Coordinator position earns a competitive salary at $20.00 - $24.85/hour depending on experience. We provide fantastic benefits including health, life, dental, vision, short-term disability (STD), long-term disability (LTD), paid time off (PTO), paid holidays, a 401(k) plan, an independent retirement advisor, an employee assistance program, a tuition reimbursement program, and more If this sounds like the right opportunity for you, apply today

ABOUT NORTHEAST DELTA DENTAL

Northeast Delta Dental - a nonprofit member of Delta Dental Plans Association (DDPA) - is the region's most trusted name in dental insurance for companies, individuals, and families throughout Maine, New Hampshire, and Vermont. We are a values-driven company that successfully balances profitability and community involvement with colleagues working together to create a corporate environment built upon high trust and mutual respect. We are recognized for our expertise in the dental insurance industry, the vibrancy of our participating dentist network, and our strong brand. All of us at Northeast Delta Dental understand the power of core values to guide our decisions and to provide a strong base for our relationships.

We believe that teamwork is key to working effectively toward our mission. That's why we support the economic well-being of our employees by providing an ample safety net of benefits. Some of these benefits include flexible work hours and time off from work to promote a healthy work/life balance, funds to pursue or continue education, and numerous ways to save for retirement.

A DAY IN THE LIFE OF AN EDI COORDINATOR:

  • Promotes accurate electronic file feeds by educating and training employer groups and TPAs about file formatting and requirements.
  • Implements electronic group enrollments by receiving and entering eligibility records into the custom enterprise system. Updates current records as needed.
  • Reviews enrollment data for accuracy by comparing and analyzing error reports and performing audits. Collaborates with TPAs and employer groups to reconcile discrepancies and update records.
  • Improves claims adjudication by performing scenario testing, researching errors, and updating enrollment data in the custom enterprise system.
  • Provides excellent customer service to employer groups by processing electronic eligibility files accurately and in a timely fashion; answering calls, and responding to email inquiries.
  • Provides training, guidance, and information on electronic enrollment by maintaining and enhancing knowledge about the process and rules around setting up and receiving 834 transactions, electronic enrollment files, the subscriber benefit administration tool, and eligibility modules in the custom enterprise system.
  • Maintains accurate process and procedure reference guides by documenting, reviewing, and updating department manuals, training materials, and related documentation.
THE EXPERTISE AND SKILLS YOU WILL BRING:
  • Associates Degree in Business, Computer Science, or related field, plus at least two years of progressively responsible eligibility or enrollment experience or an equivalent combination of training, education, and/or experience.
  • Must be proficient in the use of the Microsoft Office suite. Experience with online enrollment tools, electronic enrollment file formats, and the Health Insurance Marketplace preferred.
  • Must be authorized to work for any employer in the United States without sponsorship now and in the future.

WORK SCHEDULE FOR AN EDI COORDINATOR

The typical work schedule for this position is Monday - Friday, 8:30 a.m. - 4:30 p.m. This position is a hybrid position working at our Concord, NH headquarters and hybrid when appropriate as determined by the Manager of Eligibility.

Are you analytical and detail-oriented with strong problem-solving skills? Do you thrive working in a fast-paced environment? Are you adaptable and able to work well under pressure? Do you have excellent communication skills, both written and verbal? Are you highly organized and goal-oriented? Do you understand the importance of teamwork? If yes, then apply today

Northeast Delta Dental is proud to be an equal opportunity employer.

IF YOU ARE READY TO JOIN OUR TEAM ~ APPLY TODAY

Location: 03301