Associate Analyst, Provider Configuration
Molina Healthcare · US
JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical...
Job description
JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting, network management and credentialing. Essential Job Duties: - Receives provider information from outside parties for loading/update in internal computer systems and databases; analyzes information and applies knowledge, experience, attention to detail and accuracy to ensure appropriate information has been provided and entry is completed timely and accordance with department standards related to turnaround times and quality. - Maintains department standard for loading provider demographic data including affiliation and contract assignment. - Audits loaded provider records for quality and financial accuracy, and provides documented feedback. - Ensures that provider information is loaded accurately to ensure proper claims processing, outbound reporting and directory processes. Required...