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Associate Specialist, Provider Network Administration

Molina Healthcare

Orlando, FLJob$15–26.42/hrSeen 2 days agoSeen in employer's feed 2 days ago

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At a glance

Compensation
$15–26.42/hr
Location
Orlando, FL
Work Authorization
Not specified

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Job overview

The Associate Specialist provides entry-level support for provider network administration. The role validates and maintains provider information in claims and provider databases, checks data for accuracy and business requirements, and supports provider network administration projects. It also maintains provider demographic data, affiliations, and fee schedule attachments, while ensuring accurate entries in health plan systems.

Skills & qualifications

RequiredNice to have

Skills

Attention to DetailData Entry and ReviewData Entry and ProcessingCustomer ServicePriority ManagementDeadline ManagementVerbal CommunicationWritten CommunicationMicrosoft OfficeApplicable Software Programs

Qualifications

1+ Year Healthcare Experience or Equivalent Education and Experience

Full job description

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

Pay Range: $15 - $26.42 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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