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.

　　KNOWLEDGE/SKILLS/ABILITIES

　　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.

　　JOB 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

　　To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

　　Pay Range: $16.23 - $35.17 / HOURLY

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