oracle
Senior Specialist, Provider Network Administration- REMOTE
Molina Healthcare
USA
Full-time
Senior · 4+ years experience
Onsite
Discovered Today
excel
Role Overview
Provides senior level support for provider network administration activities.
Responsible for accurate and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.
Key Skills for This Role
excel
Full Job Posting
Required Qualifications
- At least 4 years of health care experience, to include experience in claims, provider services, provider network operations, and/or hospital/physician billing, or equivalent combination of relevant education and experience. • Claims processing experience, including coordination of benefits, subrogation, and/or eligibility criteria. • Experience with medical terminology, Current Procedural Terminology (CPT), International Classification of Disease (ICD-9/ICD-10) codes, • Attention to detail, and ability to facilitate accurate data entry/review. • Data entry/processing skills. • Customer service skills. • Ability to manage multiple priorities and meet deadlines. • Effective verbal and written communication skills. • Microsoft Office suite (including intermediate Excel skills) and applicable software programs proficiency.
- At least 4 years of health care experience, to include experience in claims, provider services, provider network operations, and/or hospital/physician billing, or equivalent combination of relevant education and experience.
- Claims processing experience, including coordination of benefits, subrogation, and/or eligibility criteria.
- Experience with medical terminology, Current Procedural Terminology (CPT), International Classification of Disease (ICD-9/ICD-10) codes,
- Attention to detail, and ability to facilitate accurate data entry/review.
- Data entry/processing skills.
- Customer service skills.
- Ability to manage multiple priorities and meet deadlines.
- Effective verbal and written communication skills.
- Microsoft Office suite (including intermediate Excel skills) and applicable software programs proficiency.
Preferred Qualifications
- Query language experience.
- To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
- To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
- Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
About Molina Healthcare
Health Insurance & Managed Care18853 employeesFounded 1980
Provider of managed healthcare services for government-sponsored programs.
Visit company websiteJobs and hiring trendsApply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at Molina Healthcare
Manager, Healthcare Services (Milwaukee County, WI)
Milwaukee, USA
ManagerFull-time
Discovered TodayView →
Field Nurse Practitioner (Houston, TX)
Houston, USA
Discovered TodayFull-time
Lead, Support Center - Remote (Must reside in FL)
, USA
Discovered TodayFull-time
Executive Assistant - REMOTE
, USA
Discovered TodayFull-time
Field Care Manager (Peoria, IL)
Peoria, USA
Discovered TodayFull-time
Manager, Healthcare Services (Milwaukee County, WI)
Milwaukee, USA
Discovered TodayFull-time
Care Manager, LTSS (RN)
Chicago, USA
Discovered TodayFull-time
VP, Healthcare Services (Nevada)
, USA
Discovered TodayFull-time
Representative, Support Center II - Remote (Bilingual)
, USA
Discovered TodayFull-time