Dental Insurance Electronic Data Interchange (EDI) Coordinator jobs in United States
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Northeast Delta Dental · 5 days ago

Dental Insurance Electronic Data Interchange (EDI) Coordinator

Northeast Delta Dental is a nonprofit member of Delta Dental Plans Association, seeking a full-time Dental Insurance Electronic Data Interchange (EDI) Coordinator. The role involves providing accurate enrollment for employer groups and TPAs, implementing electronic group enrollments, and improving claims adjudication through data analysis and collaboration.

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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 and collaborates with TPAs and employer groups to reconcile records
Improves claims adjudication by performing scenario testing, researching errors, and updating enrollment data in the custom enterprise system

Qualification

Electronic enrollment toolsElectronic file formatsData analysisMicrosoft OfficeEnrollment experienceTraining skillsCommunication skills

Required

Associates Degree in Business, Computer Science, or related field
At least two years of progressively responsible eligibility or enrollment experience or an equivalent combination of training, education, and/or experience
Proficient in the use of the Microsoft Office suite
Authorized to work for any employer in the United States without sponsorship now and in the future

Preferred

Experience with online enrollment tools
Experience with electronic enrollment file formats
Experience with 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

Company

Northeast Delta Dental

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NH-based dental insurance company

Funding

Current Stage
Growth Stage

Leadership Team

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Tom Raffio
President + CEO
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michel C.
chief dental officer
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Company data provided by crunchbase