JOB DESCRIPTION

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

Provides clerical, data entry and/or telephone support for the Utilization Management team. Manages the workflow for responses to incoming authorization requests and correspondence from Molina members and providers, collaborating with team members to provide timely replies. Generates, processes, tracks and stores authorization requests and correspondence related to Care Access and Monitoring approvals and denials and other integrated Molina programs including Behavioral Health and Long-Term Care. Enters member demographic data and provider information updates into appropriate systems. Processes and monitors all denial letters through Molina denial database.

JOB QUALIFICATIONS

Required Education

HS Diploma or GED

Required Experience

Min. 1 year experience in an administrative support role in healthcare.

Preferred Education

Associate degree

Preferred Experience

3+ years’ experience in an administrative support role in healthcare, Medical Assistant preferred.

Candidates from these locations are preferred:

Alabama

Arizona

Arkansas

Colorado

Delaware

Florida

Georgia

Idaho

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Mississippi

Missouri

Montana

Nebraska

New Hampshire

New Jersey

New Mexico

North Carolina

North Dakota

Ohio

Oklahoma

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

 

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.