Northeast Delta Dental · 1 day ago
Dental Insurance Electronic Data Interchange (EDI) Coordinator
Concord, NH
Full-time
Hybrid
Entry Level
$24/hr - $25/hr
2+ years expNortheast Delta Dental is a nonprofit organization known for its trusted dental insurance services in the region. They are seeking a full-time EDI Coordinator to ensure accurate and secure enrollment processes for employer groups and Third-Party Administrators, while providing excellent customer service and training on electronic enrollment procedures.
Health CareInsurance
No H1B
Responsibilities
Promotes accurate electronic file feeds by educating and training employer groups and TPAs about file formatting and requirements
Implements electronic group enrollments by receiving and entering eligibility records into the custom enterprise system. Updates current records as needed
Reviews enrollment data for accuracy by comparing and analyzing error reports and performing audits. Collaborates with TPAs and employer groups to reconcile discrepancies and update records
Improves claims adjudication by performing scenario testing, researching errors, and updating enrollment data in the custom enterprise system
Provides excellent customer service to employer groups by processing electronic eligibility files accurately and in a timely fashion; answering calls, and responding to email inquiries
Provides training, guidance, and information on electronic enrollment by maintaining and enhancing knowledge about the process and rules around setting up and receiving 834 transactions, electronic enrollment files, the subscriber benefit administration tool, and eligibility modules in the custom enterprise system
Maintains accurate process and procedure reference guides by documenting, reviewing, and updating department manuals, training materials, and related documentation
Qualification
Required
Associates Degree in Business, Computer Science, or related field, plus at least two years of progressively responsible eligibility or enrollment experience or an equivalent combination of training, education, and/or experience
Must be proficient in the use of the Microsoft Office suite
Must be authorized to work for any employer in the United States without sponsorship now and in the future
Preferred
Experience with online enrollment tools, electronic enrollment file formats, and the Health Insurance Marketplace
Benefits
Health
Life
Dental
Vision
Short-term disability (STD)
Long-term disability (LTD)
Paid time off (PTO)
Paid holidays
A 401(k) plan
An independent retirement advisor
An employee assistance program
A tuition reimbursement program
And more!
Company
Northeast Delta Dental
NH-based dental insurance company
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Tom Raffio
President + CEO
michel C.
chief dental officer
Recent News
vermontbiz.com
2025-07-02
NH Business Review
2025-06-13
Company data provided by crunchbase