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
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