Associate Specialist, Provider Network Administration

Molina Healthcare

Long Beach, CAOn-siteFull time
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Location
Long Beach, CA
Work style
On-site
Job type
Full time
Posted
Oct 21
1 day ago
Career path

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About the company

Molina Healthcare

Hospitals and Health Care · 10,001+ employees

Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care.

Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.

Molina Healthcare on LinkedIn

What you'll do

  • Validate and maintain provider information in claims and provider databases, ensuring accurate data entry and adherence to business and system requirements.
  • Review information received from outside parties, maintain provider demographic data and related affiliations and fee schedules, and support provider network administration projects.

What you need

  • Requires at least one year of healthcare experience in claims, provider services, provider network operations, hospital or physician billing, or an equivalent combination of relevant education and experience.
  • Candidates should have strong attention to detail, data entry and processing skills, customer service and communication abilities, proficiency with Microsoft Office and applicable software, and the ability to manage priorities and deadlines.

Key skills

Attention To DetailAccurate Data EntryData ReviewData ProcessingCustomer ServicePrioritizationDeadline ManagementVerbal CommunicationWritten CommunicationMicrosoft OfficeProvider Network AdministrationProvider Data Maintenance

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See full description on company page, apply now

Read the full posting here
JOB DESCRIPTION Job Summary Provides entry level support for provider network administration activities.  Responsible for accurate and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.   Essential Job Duties • Receives information from outside parties for update of provider-related information in applicable computer system(s).  • Reviews/analyzes data by applying job knowledge to ensure appropriate information has been provided. • Maintains department quality standards for provider demographic data with affiliation and fee schedule attachment. • Ensures accurate entries of information into health plan systems. • Provides support for provider network administration (PNA) projects.   Required Qualifications • At least 1 year of health care experience, to include experience in claims, provider services, provider network operations, and/or hospital/physician billing, or equivalent combination of relevant education and experience. • Attention to detail, and ability to facilitate accurate data entry/review. • Data entry/processing skills. • Customer service skills. • Ability to manage multiple priorities and meet deadlines.     • Effective verbal and written communication skills.  • Microsoft Office suite and applicable software programs proficiency.       To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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