Provider Data Coordinator

3 weeks ago


Temple, Texas, United States Collabera Full time
Job Overview

The estimated salary for this role is $55,000 - $65,000 per annum.

About the Role

We are seeking a skilled Provider Data Coordinator to join our team at Collabera, a global digital solutions company. This role involves maintaining provider demographic and contractual data within our claims processing system.

The successful candidate will be responsible for entering and updating provider records, collecting IRS W-9 forms, and coordinating member re-assignment upon termination of a Primary Care Provider (PCP). They will also assist with administrative tasks related to data entry and validation.

To be successful in this role, you will need strong analytical skills, attention to detail, and excellent communication skills. You will work closely with various departments to ensure accurate and up-to-date information is configured within the provider database.

Responsibilities
  • Maintain provider database using credentialing data, NPPES, and other sources to ensure data integrity within the claims processing system.
  • Enter new contracts into the system and make modifications to existing contracts in collaboration with Network Development.
  • Collect IRS W-9 forms from providers to validate/update configured information.
  • Coordinate member re-assignment upon termination of a Primary Care Provider (PCP) in collaboration with enrollment operations.
  • Select appropriate pricing templates to apply to contracts.
  • Update provider records in response to credible allegations of fraud and IRS notices.
  • Assist with administrative tasks related to data entry and validation for multiple departments.
  • Review provider quality reports and update provider records to meet company standards.

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