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Data Management Coordinator CFHP

Community First Health Plans
Category | Professional Non-Nursing Job Schedule | Full Time Job Shift | Day Shift Job ID | 00065242 Post Date | Jun. 27, 2025 Department | Plan Reimbursement & Data Management - CFHP
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POSITION SUMMARY/RESPONSIBILITIES

Manages the daily activities of the Provider Data Maintenance team.  Plans and implements projects that will improve processes related to the maintenance of provider data, generating provider directories and claims entry/processing functions.  Acts as an advisor and technical resource for electronic claims reporting and processing to enable the department to meet regulatory requirements/CFHP business plan. Leads or assists Configuration Manager in managing various projects.

EDUCATION/EXPERIENCE

An Associate's Degree in business, healthcare administration or related area and/or equivalent level of experience is preferred.  A minimum of three years' medical claims experience in a healthcare setting is required.  Previous supervisory experience required.  Knowledge of all claims coding formats, as well as insurance industry standard procedures is required.  Knowledge of the AMISYS claims processing system is recommended.

12238 Silicon Drive, San Antonio, TX, United States

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