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Associate Analyst, Provider Configuration (Remote)

Molina Healthcare

Arizona

Remote

USD 60,000 - 80,000

Full time

Today
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Job summary

A healthcare provider is seeking a detail-oriented individual to maintain critical provider information in claims and provider databases. The role involves ensuring data accuracy and adherence to business requirements. Candidates should have a HS Diploma or GED and ideally 1-3 years of relevant experience. The position offers a competitive hourly wage ranging from $21.16 to $42.20, depending on experience and location.

Benefits

Competitive benefits and compensation package
Equal Opportunity Employer

Qualifications

  • 0-3 years of experience desired.
  • Familiarity with provider demographic data management.
  • Ability to audit records for quality and accuracy.

Responsibilities

  • Maintain and update provider information in databases.
  • Synchronize data among multiple claims systems.
  • Validate data for adherence to business requirements.

Skills

Attention to detail
Data analysis
Knowledge of claims processing

Education

HS Diploma or GED
Associate degree or equivalent
Job description
JOB DESCRIPTION

Responsible 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.

Job Summary

Responsible 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.

KNOWLEDGE/SKILLS/ABILITIES
  • 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 QUALIFICATIONS
Required Education

HS Diploma or GED

Required Experience

0-3 years

Preferred Education

Associate degree or equivalent combination of education and experience

Preferred Experience

1-3 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: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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