Care Review Processor
Company: Molina Healthcare
Posted on: November 22, 2021
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.
Provides telephone, clerical, and data entry support for the Care
Provides computer entries of authorization request/provider
inquiries, such as eligibility and benefits verification, provider
contracting status, diagnosis and treatment requests, coordination
of benefits status determination, hospital census information
regarding admissions and discharges, and billing codes.
Responds to requests for authorization of services submitted via
phone, fax, and mail according to Molina operational
Contacts physician offices according to Department guidelines to
request missing information from authorization requests or for
additional information as requested by the Medical Director.
HS Diploma or GED
1-3 years' experience in an administrative support role in
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
Molina Healthcare offers a competitive benefits and compensation
package. Molina Healthcare is an Equal Opportunity Employer (EOE)
Keywords: Molina Healthcare, Salem , Care Review Processor, Other , Salem, Oregon
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