Representative, Enrollment - New York, United States - Molina Healthcare

Molina Healthcare

Verified Company

New York, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Summary

KNOWLEDGE/SKILLS/ABILITIES

Performs processes to resolve the following eligibility exceptions within the required State/Regulatory timeframes: enrollment file errors, ID card generation errors, PCP assignments and 834 enrollment files to vendor/third party administrators.

Assists with the support of the newborn enrollment functions, to include call center requests for verification and updates, PCP assignment activity, enrollment record error reports, enrollment/disenrollment activity and Mass Member Moves.

Work on claims queue to ensure timely and accurate processing of claims pended due to enrollment or COB related issues.

Processes the mail returned by the member providing updates or requested information

Works the I Serve process and makes assignments to the vendor and/or Sr. Enrollment Rep as appropriate

JOB QUALIFICATIONS
Required Education

Associate degree or equivalent combination of education and experience

Required Experience

1-3 years

Preferred Education

Bachelor's Degree or equivalent combination of education and experience

Preferred Experience

3-5 years

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range:
$ $24.02 / HOURLY