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.
Health CareInsurance
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
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
NH-based dental insurance company
Funding
Current Stage
Growth StageRecent News
vermontbiz.com
2025-07-02
NH Business Review
2025-06-13
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