Part-Time Provider Services Rep

Molina Healthcare Boise , ID 83701

Posted 4 months ago

Job Description:

Job Summary

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.

Knowledge/Skills/Abilities

  • 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

Required Education

High School Diploma or equivalent GED

Required Experience
1-2 years Customer Service/Call Center experience

Familiar with data input

Good computer skills; basic knowledge of Microsoft Office

Preferred Experience

Medicaid experience

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.


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Part-Time Provider Services Rep

Molina Healthcare