Coventry Health Care, a $12.2 billion Fortune 500 organization, is a national managed health care company with nearly 5.1 million members in all 50 states. At Coventry Health Care, we are driven to ensure that every person and organization we serve receives the greatest possible value for their health care investment. We do this by providing a full range of competitive products through our seven core businesses - Commercial Risk, Medicare Advantage, Medicare Part D, Medicaid, Workers' Comp Services, Federal Employees Health Benefits Plan and network Rental.
We are committed to constantly improving our low-cost platform so that we can deliver the products and services that our customers want at a price they can afford. Coventry has the expertise, the experience, and the agility to craft the new products, the new processes and the new service needed to make healthcare more accessible to all Americans.
Our national managed care company is seeking a Provider Systems Administrator in our Franklin, TN Service Center. As a strategic member of the Customer Service Operations (CSO) team, the successful candidate will be responsible for analyzing, coding and building provider demographic and pricing information into our databases. we are looking for someone with a proven track record of growing and improving a department.
We offer a competitive salary, excellent benefits (401K with company matching, comprehensive benefits including medical, dental and tuition reimbursement), vacation and sick time. This is a highly visible role dealing with business partners across the division and corporation, and being a part of motivating a dynamic team!
ESSENTIAL RESPONSIBILITIES
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Evaluates and build provider demographic, contract, and/or client provider network information into the transactional system
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Code and load contacts into transitional system/other databases.
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Facilitates resolutions of contract related pricing issues.
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Services as a consultant to health plans with regard to new products/strategies and/or interpreting data.
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Analyzes the impact of process or technical changes on existing processes and interfaces based on cross-functional knowledge of transactional systems.
- Acts as an interface between leased networks and customer service/claims.
- May lead cross-functional user groups.Participates in business improvement project teams.
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Performs other duties as required.
Qualifications:
Basic Qualifications:
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High School diploma or equivalent.
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Knowledge of medical coding (CPT, REV, ICD-9, HCPCS).
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Proficiency with MS Excel.
Preferred Qualifications:
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Bachelor's degree preferred
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1-2 years provider maintenance, claims processing or coding experience preferred
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Working knowledge of MS Access.
Other:
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Highly self-motivated and able to work well under stress in a fast paced environment.
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Excellent organizational aptitude and high attention to details.
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Effective verbal and written communication skills.
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Strong analytical and problem-solving skills.
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Strong organizational skills with ability to multi-task well.
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Able to maintain regular and consistent attendance in accordance with company and departmental policies and procedures.
Please apply directly to http://jobs.coventryhealthcare.com and refer to Req# 1212781, Provider Systems Administrator.
Coventry Health Care is an Affirmative Action / Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Professionals
Primary Location: Franklin, TN, US
Organization: 10750 - Service Center - Central Admin
Schedule: Full-time
Job Posting: 2013-01-07 00:00:00.0
Job ID: 1212781