Associate Specialist, Provider Network Administration

Molina Healthcare•Long Beach, CA

About The Position

Provides entry-level support for provider network administration activities. The role is responsible for accurately and promptly validating and maintaining critical provider information in claims and provider databases, while ensuring adherence to internal customers’ business and system requirements in provider network management areas such as provider contracts.

Requirements

At least 1 year of health care experience in claims, provider services, provider network operations, and/or hospital or physician billing, or an equivalent combination of relevant education and experience.
Attention to detail and ability to facilitate accurate data entry and review.
Data entry and processing skills.
Customer service skills.
Ability to manage multiple priorities and meet deadlines.
Effective verbal and written communication skills.
Proficiency with the Microsoft Office suite and applicable software programs.

Responsibilities

Receive information from outside parties for updating provider-related information in applicable computer systems.
Review and analyze data using job knowledge to confirm that appropriate information has been provided.
Maintain department quality standards for provider demographic data, including affiliation and fee schedule attachment.
Enter information accurately into health plan systems.
Support provider network administration projects.