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GEHA (Government Employees Health Association, Inc., pronounced G.E.H.A.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees.

GEHA has one mission: To empower federal workers to be healthy and well.

Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, GEHA empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization.

Performs analysis and completes entry into Salesforce for all provider directory updates and completes provider demographic updates, including Adds, Changes, and Terminations. Assists with audit of all network provider entry into Facets to ensure accuracy and the integrity of the network provider data. Completes phone verification calls to providers to obtain required data elements for provider directory updates as defined by state regulations and other phone call tasks to providers as directed by management. Performs various other routine assignments with minimal supervision.

SKILLS

Duties and Responsibilities

+ Reviews contracted provider data. Performs close examination of network provider directory update form and completes the entry into the Salesforce system.

+ Verifies provider’s group affiliations, and works with Contract Administrator and to identify group providers in need of directory update audit, and submit the spreadsheet to the group contact for updates. Prepare completed updates and submit to Contract Administrator for updates into Salesforce.

+ Utilizes NPPES NPI Registry to verify provider NPI and update per NPI website.

+ Identifies updates of provider specialty, education, American Board Certification, and state license number and forwards to Credentialing for verification.

+ Contacts provider to obtain required data elements to complete directory update.

+ Assists Contract Administrator with maintaining updates to the job aides, makes recommendations for process updates, and maintains updates to the job aides based on recommendations from the Contract Administrator.

+ Assists with audit of applications, adds, changes, and terms into the Salesforce and Facets systems and completes audit spreadsheets and provides feed back to the Contract Administrator.

+ Reviews and updates error reports received from payers as needed for GEHA SOLUTIONS.

+ Assists in research and resolution for provider directory issues and other payer requests as received from GEHA Solutions.

+ Provide weekly status reports to Contract Administrator to be used for reporting to Supervisor, Provider Relations, and GEHA Solutions.

+ Assists with completing provider entry for all applications, adds, changes, and terminations.

+ Assists with other tasks as assigned.

REQUIREMENTS: Education & Experience

+ Requires high school diploma or equivalent

+ Requires five years of data entry experience

+ Requires effective written and verbal communications skills to answer questions from staff and respond to inquiries

+ Requires alpha numeric entry of 8,000 KPH

+ Requires analytic ability to prepare departmental reports. Requires the ability to compare data and resolve discrepancies

+ Requires proficiency with Word and Excel

PREFERRED:

+ Salesforce experience

Must reside in Kansas City Metro

Work-at-home requirements

+ Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office.

+ A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.

+ Latency (ping) response time lower than 80 ms

+ Hotspots, satellite and wireless internet service is NOT allowed for this role.

+ A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

How we value you

+ Competitive pay/salary ranges

+ Incentive plan

+ Health/Vision/Dental benefits effective day one

+ 401(k) retirement plan: company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution

+ Robust employee well-being program

+ Paid Time Off

+ Personal Community Enrichment Time

+ Company-provided Basic Life and AD&D

+ Company-provided Short-Term & Long-Term Disability

+ Tuition Assistance Program

Please note that the salary information is a general guideline only. GEHA considers factors such as (but not limited to) scope and responsibilities of the position, candidate’s work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer.

The annual base salary range for this position is $49,050 - $69,142 USD.

GEHA is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. GEHA will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization.

GEHA is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

Please note: Due to recent fraudulent activity in the job market, if you receive correspondence from someone at GEHA, we recommend you review the following facts to help verify if someone is truly a GEHA employee before sharing any personal information.

+ All email addresses of GEHA employees will end with our domain,@ geha.com . Any other domain is not verified and is illegitimate. **Please double check the spelling as well** .

+ We will never extend a job offer without having at least one live video call.

+ We will never ask you for or provide you with any money, personal or banking information during the interview process or before signing an offer letter.

Please report any suspicious messages to [email protected] so that we can help reduce this fraudulent activity.

GEHA (Government Employees Health Association, Inc., pronounced G.E.H.A.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, GEHA empowers health and wellness by meeting its members where they are, when they need care. Among our core values is embracing diversity and inclusion, where we thrive by creating an environment in which each of our employees feels a sense of belonging, can engage their full potential and focus on enriching our people, culture and community.

Your FUTURE is here with us –COME GROW WITH GEHA!

Benefits start on day one! Great 401(k) match! Tuition assistance programs! Professional development! Advancement opportunities!

For additional information, please visit GEHA Careers. (https://www.geha.com/careers)