System Data Coordinator

Responsible for ensuring the integrity and accuracy of provider data in all applications. In addition, expected to work collaboratively with all internal and external stakeholders in an effort to meet or exceed all regulatory and contractual provider data quality and accuracy standards., 1. Adds new network providers, vendors, and places of service to the Epic Tapestry System.

1. Adds Participating and Non-participating contracts to vendor records for claims processing.
2. Adds EFT (Electronic Funds Transfer) banking information to provider records.
3. Responsible for maintaining our Provider Network Verification (PNV) database daily to meet government contractual obligations.
4. Responsible for reviewing and resolving daily tasks that are tracked via tickets in our Customer Relationship Management (CRM) system.
5. Supports and maintains our Master Provider Data records in the Epic Tapestry System and ProviderLenz application.
6. Conducts provider verifications with the Agency for Health Care Administration’s Provider Master List, NPI Registry, Florida Dept of Health, Florida Division of Corporations (Sunbiz), and Florida Facility Finder.
7. Audits records to identify errors and notify the system administrators of issues.
8. Updates provider demographic changes daily, or as needed, in Epic Tapestry and ProviderLenz
9. Works with third party vendors and providers to keep our Master Provider Data current with timely and accurate changes.
10. Responds to operational problems and provides user support.
11. Maintains and develops workflows to ensure all updates are handled timely.
12. Maintains and develops Standard Operating Procedures (SOPs).
13. Maintains accuracy of provider data and timeliness to ensure continuation of agency accreditations and to avoid possible sanctions and liquidated damages.
14. Maintains monthly productivity and quality goals.
15. Completes side-by-side and peer trainings, as necessary for educational opportunities.
16. Assists with projects and other duties, as needed.

This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.

• Associates degree preferred or two years related experience and/or training; or equivalent combination of education and experience in data entry and analysis.
• Experience in managed care or medical office environment (preferred).
• Proficient knowledge of Microsoft Office (e.g., Word, Excel, and PowerPoint).
• Knowledge of Epic Tapestry, or similar database systems (preferred).
• Auditing experience, preferably with healthcare provider records.

Skills and Abilities:

• Attention to detail to ensure accuracy of provider data.
• Ability to communicate proficiently in English.
• Strong written and verbal communication skills.
• Time management skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Ability to meet deadlines.
• Ability to write routine reports and correspondence.
• Ability to work independently.
• Ability to maintain a good rapport and cooperative working relationship with the team, other departments, and external clients.
• Ability to speak effectively before groups of customers or employees of organization.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to deal with problems involving several concrete variables in standardized situations.

The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants.