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System Data Coordinator

System Data Coordinator

South Florida Community Care Network LLCFort Lauderdale, FL, US
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Job Description

Job Description

Hybrid- Sunrise, Florida

Position Summary :

Responsible for ensuring the integrity and accuracy of provider data in all applications. In addition, expected to work collaboratively with all internal and external stakeholders in an effort to meet or exceed all regulatory and contractual provider data quality and accuracy standards.

Essential Duties and Responsibilities :

  • Adds new network providers, vendors, and places of service to the Epic Tapestry System.
  • Adds Participating and Non-participating contracts to vendor records for claims processing.
  • Adds EFT (Electronic Funds Transfer) banking information to provider records.
  • Responsible for maintaining our Provider Network Verification (PNV) database daily to meet government contractual obligations.
  • Responsible for reviewing and resolving daily tasks that are tracked via tickets in our Customer Relationship Management (CRM) system.
  • Supports and maintains our Master Provider Data records in the Epic Tapestry System and ProviderLenz application.
  • Conducts provider verifications with the Agency for Health Care Administration’s Provider Master List, NPI Registry, Florida Dept of Health, Florida Division of Corporations (Sunbiz), and Florida Facility Finder.
  • Audits records to identify errors and notify the system administrators of issues.
  • Updates provider demographic changes daily, or as needed, in Epic Tapestry and ProviderLenz
  • Works with third party vendors and providers to keep our Master Provider Data current with timely and accurate changes.
  • Responds to operational problems and provides user support.
  • Maintains and develops workflows to ensure all updates are handled timely.
  • Maintains and develops Standard Operating Procedures (SOPs).
  • Maintains accuracy of provider data and timeliness to ensure continuation of agency accreditations and to avoid possible sanctions and liquidated damages.
  • Maintains monthly productivity and quality goals.
  • Completes side-by-side and peer trainings, as necessary for educational opportunities.
  • Assists with projects and other duties, as needed.

This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.

Qualifications :

  • Associates degree preferred or two years related experience and / or training; or equivalent combination of education and experience in data entry and analysis.
  • Experience in managed care or medical office environment (preferred).
  • Proficient knowledge of Microsoft Office (e.g., Word, Excel, and PowerPoint).
  • Knowledge of Epic Tapestry, or similar database systems (preferred).
  • Auditing experience, preferably with healthcare provider records.

    • Skills and Abilities :

  • Attention to detail to ensure accuracy of provider data.
  • Ability to communicate proficiently in English.
  • Strong written and verbal communication skills.
  • Time management skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Ability to meet deadlines.
  • Ability to write routine reports and correspondence.
  • Ability to work independently.
  • Ability to maintain a good rapport and cooperative working relationship with the team, other departments, and external clients.
  • Ability to speak effectively before groups of customers or employees of organization.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
  • Ability to deal with problems involving several concrete variables in standardized situations.

    • Work Schedule :

    Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs

    Physical Demands :

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must occasionally lift and / or move up to 15 pounds.

    Work Environment :

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside / outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

    We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion.

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