Remote 08021 Jobs

Position Overview

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 applies business rules as they pertain to contracting, network management, and credentialing.

Key Responsibilities

• Receives information from outside party(ies) for update of information in computer system(s) and analyzes it to ensure appropriate details have been provided.
• Maintains department standard for loading provider demographic data with affiliation and contract assignment.
• Loads and maintains provider information into computer system(s) with attention to detail and accuracy to meet department turnaround and quality standards.
• Audits loaded provider records for quality and financial accuracy and provides documented feedback.
• Ensures that provider information is loaded accurately to support proper claims processing, outbound reporting, and directory processes.

Required Qualifications

• HS Diploma or GED
• 0-3 years of relevant work experience

Preferred Qualifications

• Associate degree or equivalent combination of education and experience
• 1-3 years of related experience

Benefits & Perks

• Compensation:$21.16 - $42.2 / HOURLY (Actual compensation may vary based on geographic location, work experience, education, and/or skill level)
• Competitive benefits packageoffered by Molina Healthcare
• Equal Opportunity Employer (EOE) M/F/D/V