Associate Specialist, Provider Network Administration

Provider Network Administration Support

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.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V