Harris Health System

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Provider Data Coordinator CHC

at Harris Health System

Posted: 4/9/2019
Job Status: Full Time
Job Reference #: 145530
Keywords: data entry

Job Description

About Us

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Job Profile

The Provider Data Coordinator is responsible for providing timely support to Claims Department to ensure claims that require departmental assistance is handle appropriately. Responsible for the coordination of data entry for the Provider Database. Responsible for applying departmental policy and procedures for Tax Identification Numbers to Provider Database maintenance. Responsible for providing support to assist in utilizing exception reports to improve and maintain the Provider Database. Responsible for preparing Provider Database(s) for directory production. Responsible for assisting in departmental special projects as it relates to Provider Database maintenance.

QUALIFICATIONS:

  • High School Graduation or GED required.
  • Three years working with databases, proficiency with Excel, or Access preferable.
  • One year of experience and familiarity with medical coding.

OTHER SKILLS:

  • Communication: Above Average Verbal (Heavy Public Contact)
  • Writing /Composing, Correspondence /Reports
  • Analytical, Mathematics, Medical Terms,
  • MS Word, MS Excel
  • Diligent, accurate data entry, well organized, attention to detail.
  • Familiarity with medical coding.

Benefits and EEOC

Community employees’ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.

Community is an Equal Opportunity Employer.

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Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!