Dental Insurance Electronic Data Interchange (EDI) Coordinator

Northeast Delta Dental•Concord, NH

7d•$24 - $25•Hybrid

About The Position

Northeast Delta Dental in Concord, NH is seeking to hire a full-time, hybrid, Dental Insurance Electronic Data Interchange (EDI) Coordinator who will provide accurate, secure, and expedited enrollment for employer groups and Third-Party Administrators (TPAs). Our EDI Coordinator position earns a competitive salary at $24.00 - $25.00/hour depending on experience. We provide fantastic benefits including 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! If this sounds like the right opportunity for you, apply today! ABOUT NORTHEAST DELTA DENTAL Northeast Delta Dental - a nonprofit member of Delta Dental Plans Association (DDPA) - is the region's most trusted name in dental insurance for companies, individuals, and families throughout Maine, New Hampshire, and Vermont. A DAY IN THE LIFE OF AN EDI COORDINATOR: 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.

Requirements

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.

Nice To Haves

Experience with online enrollment tools, electronic enrollment file formats, and the Health Insurance Marketplace preferred.

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.