JOB DESCRIPTION

Hours per time zone

9-6pm PST

10-7pm MST

11-8pm CST

12-9pm EST

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.

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.