Responsible for answering all calls from providers regarding claims issues, eligibility and benefits, and website assistance in a call center setting, and to satisfactorily resolve calls within expected response time standards. May also answer and resolve calls from members.
Handles heavy inbound call volume.
Responds to incoming calls mainly from providers, and on occasion from members, as required to meet departmental goals.
Explains benefits, eligibility, provider status, state Medicaid guidelines, claim denials and any other necessary information to providers, in a clear and precise manner.
Records calls accurately in call tracking system.
Maintains specific quality and quantity standards.
Maintains accurate documentation and paper files of work.Job Qualifications
High School Diploma or equivalent GED
1-2 years Customer Service/Call Center experience
Familiar with data input
Good computer skills; basic knowledge of Microsoft Office
Medical claims experience
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.