Associate Specialist, Provider Network Administration

Molina Healthcare•Long Beach, FL

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, and for ensuring compliance with internal customers’ business and system requirements in provider network management areas such as provider contracts.

Requirements

At least 1 year of health care experience, including 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 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 ensure appropriate information has been provided.
Maintain department quality standards for provider demographic data, including affiliation and fee schedule attachment.
Ensure accurate entry of information into health plan systems.
Provide support for provider network administration projects.