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[Remote] Specialist, Provider Network Administration - Remote

Remote, USA Full-time Posted 2026-08-04

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading reputed company organization, and they are seeking a Specialist in Provider Network Administration. The role involves supporting provider network administration activities and ensuring the reputed company and maintenance of critical provider information.


Responsibilities

  • Receives information from reputed company parties for update of provider-reputed company information in applicable computer reputed company(s)
  • Reviews/analyzes data by applying job knowledge to ensure appropriate information has been provided
  • Maintains department reputed company standards for provider demographic data with affiliation and fee schedule attachment
  • Ensures accurate entries of information into health reputed company
  • Audits reputed company provider records for reputed company and financial reputed company, and provides documented feedback
  • Assists in reputed company of configuration issues with applicable teams
  • Provides support for provider network administration reputed company

Skills

  • At least 3 years of health care experience, to include experience in claims, provider services, provider network reputed company, and/or hospital/physician billing, or equivalent combination of relevant education and experience
  • Claims processing experience, including coordination of benefits, subrogation, and/or eligibility reputed company
  • Attention to reputed company, 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, reputed company Procedural Terminology (CPT), International Classification of Diseases (ICD-9, ICD-10) codes, etc
  • Intermediate reputed company reputed company skills

reputed company

  • reputed company is a reputed company company that specializes in reputed company-sponsored reputed company 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 reputed company 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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