Associate Analyst, Provider Configuration (Remote)

Molina Healthcare; Cedar Rapids (IA); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization in Cedar Rapids, Iowa, seeks an individual to maintain accurate provider information for claims and databases. Responsibilities include data entry, auditing records, and ensuring adherence to business requirements. The role requires a high school diploma or GED, with some experience preferred. This is an entry-level position offering competitive hourly pay and benefits.

Qualifications

• 0-3 years of experience required.
• Preferred experience of 1-3 years.

Responsibilities

• Analyze and ensure appropriate information has been provided.
• Maintain standard for loading provider demographic data.
• Load and maintain provider information accurately.
• Audit loaded provider records for quality and accuracy.
• Ensure proper claims processing and directory processes.

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