SlipstreamJobs tracks this role from the company's public career site. Apply directly on the employer's site.
Salary: USD 70,304 - 73,828.33 / annual
WelbeHealth operates a PACE (Program of All-Inclusive Care for the Elderly) program that enables seniors to remain in their homes and communities while receiving comprehensive medical services. The organization uses a collaborative interdisciplinary team approach to evaluate and guide participant care.
Reporting to the Configuration Manager, the Provider Configuration Coordinator is responsible for configuring and maintaining organization and provider data within the claims processing system to ensure accurate and timely claims processing.
Key responsibilities include:
- Building, maintaining, testing, and auditing provider network data in the claims processing system to ensure accurate claims processing in accordance with provider agreements, regulatory guidelines, and company policy
- Monitoring, researching, and resolving EDI (837D, 837I, 837P) failed claims queues in a timely manner
- Validating and processing W9 provider tax forms
- Configuring WelbeHealth's standard rates for out-of-network organizations within the claims processing system
This role offers opportunities for career growth and advancement into specialist-level positions. You will play a critical role in supporting a growing, mission-driven healthcare organization dedicated to ensuring vulnerable seniors have access to high-quality care.
WelbeHealth offers a competitive total rewards package including medical, dental, and vision insurance; 17 days of PTO, 12 observed holidays, and 6 sick days annually; 401(k) match; and comprehensive benefits.
REQUIREMENTS:
- High school diploma or equivalency (associate's degree preferred)
- Minimum 3 years of experience in healthcare claim system configuration
- Experience working with and maintaining provider network data in an electronic claims processing system
- Exceptional interpersonal skills and ability to work collaboratively
- Ability to manage multiple projects with high attention to detail
- Willingness and ability to work a varied schedule including evenings, nights, weekends, and overtime
- COVID-19 vaccination required (proof of vaccination or declination form required prior to employment)
