Associate Analyst, Provider Configuration (Remote)

Molina Healthcare; Buffalo (NY); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare provider is seeking an accurate and detail-oriented candidate responsible for maintaining crucial provider information. The role involves synchronizing data among claims systems, ensuring accuracy for claims processing, and performing audits for quality and financial accuracy. Candidates must have a HS diploma or GED, with up to 3 years of experience preferred. This position offers a competitive hourly pay range in Buffalo, New York.

Benefits

Competitive benefits and compensation package

Qualifications

• 0-3 years of experience is required.
• 1-3 years of preferred experience.

Responsibilities

• Update information in computer system(s) accurately.
• Maintain standards for loading provider demographic data.
• Audit loaded provider records for quality and accuracy.

Education

HS Diploma or GED

Associate degree or equivalent combination of education and experience

Job description

Overview

JOB DESCRIPTION

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.

Responsibilities

• 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.

• QNXT

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

Pay Range: $21.16 - $42.2 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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