Associate Analyst, Provider Configuration

Molina Healthcare; United States; Vor Ort; USD 22.000 - 48.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking an entry-level analyst to support provider configuration, maintain provider information across claims systems, and ensure data accuracy for contracting, network management and credentialing.

You will load data from outside parties, audit provider records for quality and financial accuracy, and ensure that provider data supports proper claims processing, outbound reporting and directory updates.

Qualifikationen

• At least 1 year of health care experience or equivalent education.
• Strong critical-thinking and attention to detail.
• Organizational and time-management skills.
• Customer service experience.
• Effective verbal and written communication.
• Proficiency with Microsoft Office (Excel) and related software.

Aufgaben

• Enter and load provider information accurately into internal systems.
• Audit provider records for quality and financial accuracy.
• Maintain provider demographic data including affiliation and contract assignments.
• Ensure provider data supports claims processing, outbound reporting and directory updates.

Kenntnisse

Critical-thinking

Attention to detail

Organizational skills

Time-management

Customer service

Verbal and written communication

Excel proficiency

Tools

Excel

Jobbeschreibung

JOB DESCRIPTION Job Summary

Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting, network management and credentialing.

• Receives provider information from outside parties for loading/update in internal computer systems and databases; analyzes information and applies knowledge, experience, attention to detail and accuracy to ensure appropriate information has been provided and entry is completed timely and accordance with department standards related to turnaround times and quality.
• Maintains department standard for loading provider demographic data including affiliation and contract assignment.
• Audits loaded provider records for quality and financial accuracy, and provides documented feedback.
• Ensures that provider information is loaded accurately to ensure proper claims processing, outbound reporting and directory processes.

JOB DESCRIPTION Job Summary

Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting, network management and credentialing.

• Receives provider information from outside parties for loading/update in internal computer systems and databases; analyzes information and applies knowledge, experience, attention to detail and accuracy to ensure appropriate information has been provided and entry is completed timely and accordance with department standards related to turnaround times and quality.
• Maintains department standard for loading provider demographic data including affiliation and contract assignment.
• Audits loaded provider records for quality and financial accuracy, and provides documented feedback.
• Ensures that provider information is loaded accurately to ensure proper claims processing, outbound reporting and directory processes.

Essential Job Duties

• Receives provider information from outside parties for loading/update in internal computer systems and databases; analyzes information and applies knowledge, experience, attention to detail and accuracy to ensure appropriate information has been provided and entry is completed timely and accordance with department standards related to turnaround times and quality.
• Maintains department standard for loading provider demographic data including affiliation and contract assignment.
• Audits loaded provider records for quality and financial accuracy, and provides documented feedback.
• Ensures that provider information is loaded accurately to ensure proper claims processing, outbound reporting and directory processes.

Required Qualifications

• At least 1 year of experience in health care, preferably in a customer/provider services setting, or equivalent combination of relevant education and experience.
• Critical-thinking skills, and attention to detail.
• Organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
• Customer service experience.
• Effective verbal and written communication skills.
• Microsoft Office suite (including Excel) and applicable software program(s) proficiency.

Preferred Qualifications

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.