Associate Specialist, Provider Network Admin
Molina Healthcare California; San Francisco, California; Los Angeles, California; San Jose, California; San Diego, California; Fresno, California Job ID 2029337***Remote and must live in California***
Job Description
Job Summary
Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
Knowledge/Skills/Abilities
• Receives information from outside parties for update of provider-related information in 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.
• Works on projects as assigned and within parameters given.
• Conducts or participates in special projects as requested..
Job Qualifications
Required Education
HS Diploma or GED
Required Experience
• Min. 1 year managed care experience
• Experience in one of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
Required License, Certification, Association
N/A
Preferred Education
Associate's Degree or equivalent combination of education and experience
Preferred Experience
• 2+ years managed care experience
• 1+ years in Provider Claims and/or Provider Network Administration
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHPO
Pay Range: $19.65 - $30.39 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 01/03/2025ABOUT OUR LOCATION
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