Responsible for maintaining all provider data maintained within CCHP's provider databases. Processes all requests for changes to the provider databases in accordance with departmental policies and procedures. Responsible for development and production of standard and ad hoc reports which is required for routine operations or special projects. Trains other CCHP staff members to generate standard reports from the database as required. Responsible for establishing mechanisms to enhance the existing database applications as needed to improve the quality of data available to health plan staff. Assists with Single Case Agreement information and various provider participation inquires. Assistance with claims payment inquiries. Assists with incoming communication to the Network Development department, and performs general duties to support CCHP operations.
Associate degree preferred but not required.
Five (5) experience working with database applications such as Access, word processing, spreadsheet and graphic presentation applications.
Superior Access database, Microsoft Word, and Excel skills.
Three (3) years of claims experience including both paper and electronic claim submissions.
Good oral and written communication skills.
Strict attention to detail, including analysis, documentation, oral presentations, general organization and specific organization of personal work duties.
Willingness to continuously improve skills in database and related applications.
Willingness to continuously improve knowledge base in both health care and provider contracting and management.
Internal Number: 45468
About Cook Children's Health Care System
Cook Children's Health Care System is a not-for-profit, nationally recognized pediatric health care organization comprised of eight entities – a Medical Center, Physician Network, Home Health company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Health Services Inc., and Health Foundation.Cook Children's Medical Center Based in Fort Worth, Texas, the integrated system has more than 60 primary and specialty care offices throughout North Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing nearly half the state.Cook Children's traces its roots back to 1918, but throughout its continual change and robust growth, it still embraces an inspiring promise – to improve the health of every child in its region through the prevention and treatment of illness, disease and injury. To live up to this promise, Cook Children's combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day.History – Cook Children's has a rich history of nearly a century of caring for children.Our Promise – Knowing that every child's ...life is sacred, it is the promise of Cook Children's to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.Companies – Based in Fort Worth, Texas, Cook Children's is a not-for-profit organization that is comprised of eight nationally recognized companies.Community Health Outreach – Cook Children's Community Health Outreach works together with over 150 partner organizations to improve the safety and health of at-risk children through education, disease and injury prevention and support.Clinical Research – Cook Children's is home to a skilled team of research-minded physicians, nurses and health care professionals and administrators who drive our commitment to excellent clinical care and the search for medical advances.Public Relations – Cook Children's Public Relations works with national and local media outlets, produces Cook Children's publications, coordinates special events and helps develop key relationships within the community.Contractor & Vendor Information – Cook Children's contractors and vendors must ensure their employees are knowledgeable about working with our organization.Sponsorship guidelines – Cook Children's sponsors a select number of events that are strongly aligned with its promise to improve the health of every child in the region through the prevention and treatment of illness, disease and injury.