Be an early applicantLess than 25 applicantsPosted by Agency

Company

Molina Healthcare · 5 hours ago

Specialist, Provider Network Administration (Remote)

Arizona, United States

Full-time

Remote

Mid Level

$18.94/hr - $36.93/hr

3+ years exp

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Responsibilities

Oversees receipt of and coordinates data from the provider network for entry into the plan's provider management system.

Reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided.

Audits loaded provider records for quality and financial accuracy and provides documented feedback.

Assists in configuration issues with Corporate team members.

Assists in training current staff and new hires as necessary.

Conducts or participates in special projects as requested.

Qualification

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Managed Care ExperienceProvider Claims AdministrationClaims ProcessingMedical TerminologyCPT CodesICD-9 CodesAccessExcelProvider ServicesProvider Network OperationsHospital BillingPhysician BillingSubrogationEligibility Criteria

Required

Associate degree in Business or equivalent combination of education and experience

Min. 3 years managed care experience

Experience in one or more of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.

Claims processing background including coordination of benefits, subrogation, and/or eligibility criteria.

Preferred

Bachelor's Degree

3+ years Provider Claims and/or Provider Network Administration experience

Experience in Medical Terminology, CPT, ICD-9 codes, etc.

Access and Excel – intermediate skill level (or higher)

Company

Molina Healthcare

Glassdoor

3.4

Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.

Founded in 1980

Long Beach, California, USA

10,001+ employees

https://careers.molinahealthcare.com

H1B Sponsorship

Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2023 (33)

2022 (36)

2021 (33)

2020 (60)