Job Details

Job Summary
Provide essential administrative support to our utilization management team, playing a key role in facilitating integrated care delivery for our members. Your contributions will help us achieve our mission of delivering high-quality, cost-effective healthcare services.

Essential Job Duties

• Deliver exceptional clerical, telephone, and data entry support for the care review team.
• Input authorization requests and provider inquiries into our systems, including verifying eligibility, benefits, provider contracting status, and diagnosis and treatment requests.
• Respond promptly to authorization requests submitted through various channels, ensuring adherence to operational timeframes.
• Reach out to physician offices according to department guidelines to follow up on missing information for authorization requests or any additional information as requested by medical directors.

Required Qualifications

• Minimum of 1 year of experience in an administrative role, ideally in healthcare, with a focus on correspondence or clinical communications.
• Experience as a Correspondence Processor at Molina is preferred.
• Exceptional attention to detail and adherence to regulatory requirements for letter generation.
• Strong organizational and time-management skills, capable of managing multiple letter queues and deadlines.
• Excellent verbal and written communication skills, ensuring clarity in all forms of correspondence.
• Eagerness to learn and adapt to new systems, software, and lines of business.
• Ability to research and integrate feedback to maintain high-quality standards in correspondence.
• Adept at simultaneously managing multiple tasks while ensuring compliance and accuracy.
• Commitment to confidentiality and adherence to relevant guidelines and policies in processing clinical correspondence.
• Proficiency in basic Microsoft Office suite and applicable software programs.

Shift Options

First Position

• Dayshift: 6:00 AM - 2:30 PM
• Schedule: Tuesday to Saturday
• 5 days / 8-hour shifts

Second Position

• Dayshift: 6:00 AM - 4:30 PM
• Schedule: Saturday to Tuesday
• 4 days / 10-hour shifts

Third Position

• Night Shift: 10:00 PM - 8:30 AM
• Schedule: Friday to Monday
• 4 days / 10-hour shifts

Fourth Position

• Mid Shift: 10:00 AM - 8:30 PM
• Schedule: Saturday to Tuesday
• 4 days / 10-hour shifts

Preferred Qualifications

• Previous experience in healthcare correspondence or clinical communications, with an understanding of the regulatory and accreditation landscape.

To all current Molina employees: If you are interested in applying for this position, please do so through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $20.25 - $30.39 / HOURLY
*Actual compensation may vary based on geographic location, work experience, education, and/or skill level.