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Job Title:

Provider Data Coordinator (Remote Option within SHP Service Area)

Cost Center:

101651230 Payor Strat-Network Ctrcting

Scheduled Weekly Hours:

40

Employee Type:

Regular

Work Shift:

Mon-Fri; day shifts (United States of America)

Job Description:

JOB SUMMARY

The Provider Data Coordinator works in cooperation with the Contracting Manager – Marshfield Clinic Health System Provider Network and other department and organization colleagues to deliver superior service to Security Health Plan’s comprehensive network of affiliated health care providers. This individual is responsible for ensuring the integrity and accuracy of data for Security Health Plan (SHP) affiliated providers in all applications, including the SHP Provider Directory. The Provider Data Coordinator works collaboratively with various internal and external stakeholders in an effort to meet or exceed all regulatory and industry provider data quality and accuracy standards.

JOB QUALIFICATIONS

EDUCATION

For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

Minimum Required: Associate degree or 60+ credits in health care, business, marketing, education, or related field.

Preferred/Optional: None

EXPERIENCE

Minimum Required: Two years’ experience in a medical group practice or health insurance/Health Maintenance Organization (HMO) environment. Experience with data entry, customer service, claims processing, billing, provider relations, credentialing or contracting. Demonstrated proficiency with the Microsoft Office suite, especially Microsoft Excel. Excellent attention to detail.

Preferred/Optional: Understanding of provider credentialing.

CERTIFICATIONS/LICENSES

The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

Minimum Required: None

Preferred/Optional: None

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.

At Marshfield Clinic Health System, we are fully committed to addressing health equity, diversity and inclusion for our employees and providers, our patients, and the communities we serve. We believe that every individual should have the opportunity to attain their highest level of health. We embrace diversity and welcome differences in who we are and how we think. We believe that any individual or group should feel welcomed, respected and valued. View our Equity and Inclusion Statement here (https://www.marshfieldclinic.org/mAboutUs/Documents/30922-000_Equity-and-Inclusion-Statement%20%282%29.pdf) .

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program .

Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

We’re hiring! Use “remote” or “hybrid” as a keyword in the search to see our remote-eligible openings!

When given the tools needed to excel, great things happen: connection with colleagues, recognition in the community, better care for our patients. All this is available with affordable living rich in leisure. Welcome to Marshfield Clinic Health System . Where career meets community.

Positions listed as 30 hours per week or greater are offered the level 1 benefit package.

Positions listed as 20 – 29 hours per week are offered the level 2 benefit package.

Positions listed as less than 19 hours per week are non-benefited.

Benefits for temporary positions vary. Details will be discussed in the interview process.

At Marshfield Clinic Health System, we are fully committed to addressing health equity, diversity and inclusion for our employees and providers, our patients, and the communities we serve.

We believe that every individual should have the opportunity to attain their highest level of health. We embrace diversity and welcome differences in who we are and how we think. We believe that any individual or group should feel welcomed, respected and valued. View our Equity and Inclusion Statement here (https://www.marshfieldclinic.org/mAboutUs/Documents/30922-000_Equity-and-Inclusion-Statement%20%282%29.pdf)