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Associate Representative, Provider Services (MMS)
Category: Other
  • Your pay will be discussed at your interview

Job code: lhw-e0-85712519

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Molina Healthcare

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  Job posted:   Sun Mar 11, 2018
  Distance to work:   ? miles
  1 Views, 0 Applications  
Associate Representative, Provider Services (MMS)

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.
o Handles heavy inbound call volume.
o Responds to incoming calls mainly from providers, and on occasion from members, as required to meet departmental goals.
o Explains benefits, eligibility, provider status, state Medicaid guidelines, claim denials and any other necessary information to providers, in a clear and precise manner.
o Records calls accurately in call tracking system.
o Maintains specific quality and quantity standards.
o 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 (i.e. claims data)
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.

**Job:** **Molina Medicaid Solutions*

**Organization:** **Medical Systems*

**Title:** *Associate Representative, Provider Services (MMS)*

**Location:** *WV-Charleston-CHARLESTO*

**Requisition ID:** *1800999*

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