Provider Maintenance Representative

DMBA (Deseret Mutual Benefit Administrators) is a non-profit organization that administers benefits for companies who are owned or affiliated with The Church of Jesus Christ of Latter-day Saints.

We have an opening for a Provider Maintenance Representative to work on the Claims Team in the Member Services department. This person will report to the Claims Team Leader.

The Member Services department of DMBA is hiring a Provider Maintenance Representative. The Member Services department administers various health and financial benefits to organizations of The Church of Jesus Christ of Latter-day Saints. We are committed to delivering exceptional service to all valued customers including participants, providers, and employers.

DUTIES:

This employee will be responsible to revise and add provider records to the claims processing system (Amisys/Appian), enroll providers for Electronic Data Interchange (EDI) and Electronic Remittance Advice (ERA), research and resolve NPI billing errors, handle W-9 and 1099 forms for providers, resolve daily data integrity reports, take inbound provider calls, and work with the zip code maintenance files.

QUALIFICATIONS:

• Excellent data entry skills on web-based applications
• A strong attention for detail
• Good oral communication skills
• Good interpersonal skills
• Team player who is results oriented
• Basic PC skills
• Ability to work alone and with others
• Ability to analyze and interpret processing problems related to providers
• Ability to provide good customer service

PREFERRED TRAINING, SKILLS, AND KNOWLEDGE:

• Preferred medical or dental claims processing experience
• Basic knowledge of Microsoft Word, Access, and Excel

EXPECTATIONS:

• Embraces the opportunity to work hard in the operational center of the Company
• Loves to help and serve others and has a commitment to do their personal best
• Motivated to meet and exceed job expectation

WHAT WE OFFER:

• Competitive pay
• Rich medical, vision and dental benefits with low premiums. One of the top health plans in Utah
• Rich retirement planning: including 401(k) company match, 8% EDRC Employer Discretionary Retirement Contribution (we just give you free money for retirement), life insurance, and full service Financial Planners onsite at no cost
• Generous paid leave plan that starts accruing your first day, your birthday off, additional sick leave and 12 paid holidays
• Award winning wellness program with health coaching, ability to earn 3 additional days off a year, fun activities and an onsite gym.
• Tuition reimbursement
• Career development through company sponsored programs and over 5000 on-demand online training courses.
• Hybrid work schedules available depending on position
• Employee Assistance Program