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Molina Healthcare

Runs health plans for government programs

Care Management Processor

Clinical Support & Patient AdministrationPosted on Nov 12
Full-timeFlorida, USA$15 - $29.06 /hrIn-person

About the Job

Requirements

  • At least 1 year of experience in an administrative support role in health care, or an equivalent combination of relevant education and experience.
  • Strong attention to detail.
  • Problem-solving skills.
  • Working knowledge of Microsoft Office, including Outlook, Word, and Excel, or comparable software.
  • Excellent customer service skills.
  • Time-management and organizational skills.
  • Strong verbal and written communication skills.
  • Proficiency in Microsoft Office or applicable software programs.

Responsibilities

  • Facilitate administrative support, including case assignment, member screening and scheduling, correspondence processing, data entry, and telephone and clerical support for the team facilitating care management services for members.
  • Facilitate initial review of assigned case levels and assist with assigning cases to care managers.
  • Review data to identify principal member needs and work under the direction of the care manager to implement care plans.
  • Schedule member visits with care managers as needed.
  • Screen members according to Molina policies and processes and assist care management staff in identifying appropriate member services.
  • Coordinate required member services in accordance with the member benefit plan.
  • Promote internal and external communication to enhance the effectiveness of care management services.
  • Process member and provider correspondence.

Desired Qualifications

  • Certified Medical Assistant (CMA).

About the Company

Molina Healthcare

Runs health plans for government programs

Molina Healthcare runs health insurance plans for people covered by Medicaid, Medicare and state insurance marketplaces, with a focus on people who need affordable access to care. Its local health plans coordinate medical services and support members with complex health needs, including people eligible for both Medicaid and Medicare. Members receive care through networks of doctors, hospitals and other providers, while the plans manage benefits, process claims and arrange care support. The company earns premiums from government programs and members, and pays the cost of covered healthcare services. Molina was founded in 1980 and is headquartered in Long Beach, California.

Company size
10,001+
Company stage
IPO
Headquarters
Long Beach, CA
Founded
1980

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