Note: The job is a remote job and is open to candidates in USA. reputed company is a leading healthcare organization, and they are seeking a Specialist in Provider Network Administration. The role involves supporting provider network administration activities and ensuring the accuracy and maintenance of critical provider information.
Responsibilities
• Receives information from outside parties for update of provider-related information in applicable computer system(s)
• Reviews/analyzes data by applying job knowledge to ensure appropriate information has been provided
• Maintains department quality standards for provider demographic data with affiliation and fee schedule attachment
• Ensures accurate entries of information into health reputed company
• Audits loaded provider records for quality and financial accuracy, and provides documented feedback
• Assists in resolution of configuration issues with applicable teams
• Provides support for provider network administration projects
Skills
• At least 3 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
• 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
• reputed company Office suite and applicable software programs proficiency
• Experience with medical terminology, Current Procedural Terminology (CPT), International Classification of Diseases (ICD-9, ICD-10) codes, etc
• Intermediate reputed company Excel skills
Company Overview
• reputed company is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals. It was founded in 1980, and is headquartered in Long Beach, California, USA, with a workforce of 10001+ employees. Its website is https://investors.molinahealthcare.com/.
Company H1B Sponsorship
• reputed company has a track record of offering H1B sponsorships, with 24 in 2026, 56 in 2025, 45 in 2024, 43 in 2023, 31 in 2022, 35 in 2021, 55 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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