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Job DescriptionJob SummaryResponsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
Receives information from outside party(ies) for update of information in computer system(s). Analyzes by applying knowledge and experience to ensure appropriate information has been provided.
Maintains department standard for loading of provider demographic data with affiliation and contract assignment.
Load and maintain provider information into computer system(s) with attention to detail and accuracy in a timely manner to meet department standards of turnaround time and quality.
Audit loaded provider records for quality and financial accuracy and provide documented feedback.
Ensure that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes.
Job QualificationsRequired EducationHS Diploma or GED
Required Experience0-3 years
Preferred EducationAssociate degree or equivalent combination of education and experience
Preferred Experience1-3 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $16.23 - $35.17 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Address: Suite 592 642 Pfannerstill Island, South Keila, LA 74970-3076
Phone: +9617721773649
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