- Molina Healthcare (Dallas, TX)
- …Summary** Responsible for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and ... **KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal… more
- Molina Healthcare (Dallas, TX)
- …claim audits related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on ... regarding updates/changes to member enrollment, provider contract, provider demographic information , claim processing guidelines and/or system configuration … more
- Molina Healthcare (Dallas, TX)
- …Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on ... completion dates with Health Plans. + Lead audits of claims and QNXT configuration to ensure accuracy, completeness, and compliance with internal policies… more
- Molina Healthcare (Dallas, TX)
- …Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be… more
- Molina Healthcare (Dallas, TX)
- …DESCRIPTION** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information ... + Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare… more
- Molina Healthcare (Dallas, TX)
- …Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be… more
- Molina Healthcare (Dallas, TX)
- …**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 ...financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information ,… more
- Molina Healthcare (Dallas, TX)
- …**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 ...information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes. **JOB QUALIFICATIONS**… more
- Molina Healthcare (Dallas, TX)
- …**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 ...assigned areas of responsibility. + Assists with development of configuration standards and best practices while suggesting improvement processes… more