Provider Data Coordinator

Maryland Care Management Inc•Linthicum, MD

just now

About The Position

This position reports to the Network Manager and is responsible for ensuring accurate provider data is obtained and maintained in the Maryland Physicians Care (MPC) operating system and online provider directory. The incumbent will provide the Network Management team with detail-oriented administrative support to include provider data entry, provider data auditing, provider data corrections, completing and uploading forms and service tickets, submitting contracts, letters, and packets, and other administrative duties such as serving as the initial phone contact for the department and composing related correspondence. The incumbent will assist the manager with internal projects and generating reports. The incumbent will also provide back-up support to the Provider and Facility Services Coordinator.

Requirements

Work requires demonstrated experience with Microsoft Office 365 to include excellent utilization of Word, Excel, Outlook, Teams, and Adobe applications.
Work requires strong ability to collect data, complete a detailed review of data for accuracy and completion, create timely tickets to ensure accurate data is in the MPC operating system and online directory.
Work requires excellent interpersonal skills to effectively interface with all levels of staff, providers, and business-related associates.
Work requires excellent verbal and written communication skills; ability to present information effectively.
Ability to assimilate information and learn quickly.
Ability to multi-task and organize, coordinate priorities.
Ability to be a positive team player; able to manage project time constraints.
Work requires the skills generally acquired through the completion of a High School diploma or GED.
Requires a minimum of 3 years of administrative experience within a healthcare environment.

Nice To Haves

Credentialing or provider data maintenance experience (preferred).

Responsibilities

Assists providers with the completion of credentialing forms.
Collects required documents for initial credentialing.
Audits credentialing packets for accuracy.
Completes and uploads provider credentialing forms.
Creates and sends credentialing status letters to providers within required timeframes.
Creates service tickets for new providers and those joining existing groups.
Audits provider rosters for changes.
Follows up on missing contracting documents
Composes provider network declination letters utilizing appropriate template.
Provides support to Network Manager with project-specific tasks; generating reports as needed.