Molina Healthcare · 4 hours ago

Assoc Specialist, Provider Network Admin

Texas, United States

Full-time

Remote

Entry Level

$13.55/hr - $26.42/hr

1+ years exp

Maximize your interview chances

Health CareHospital

Insider Connection @Molina Healthcare

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Receives information from outside parties for update of provider-related information in computer system(s).

Coordinates preparation and routing distribution of documents to complete the contracting/credentialing process in a timely and thorough manner according to standardized process.

Reviews/analyzes contracts and amendments, including but not limited to fee for Service and Alternative Payment Methods including Pay for Performance.

Understanding credentialing requirements and regulations.

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.

Works on projects as assigned and within parameters given.

Conducts or participates in special projects as requested.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Managed Care ExperienceProvider Network AdministrationProvider ClaimsHospital BillingPhysician BillingData AnalysisCredentialing RequirementsMicrosoft ExcelMicrosoft OutlookMicrosoft WordContract ReviewInternet Research