Associate Specialist, Provider Network Administrator-Florida

Job Description

Job Summary

Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.

Knowledge / Skills / Abilities

• Receives information from outside parties for update of provider-related information in 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.
• Works on projects as assigned and within parameters given.
• Conducts or participates in special projects as requested
• Excel Experience

Job Qualifications

Required Education

HS Diploma or GED

Required Experience

Required License, Certification, Association

N / A

Preferred Education

Associate's Degree or equivalent combination of education and experience

Preferred Experience

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

Pay Range : $13.55 - $26.42 / HOURLY

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