Provider Services Rep II position at Molina Healthcare in Augusta

Molina Healthcare is hiring Provider Services Rep II on Fri, 15 Mar 2013 21:46:36 GMT. Acts as the liaison between the customer, the provider community and other health care representatives. Supports all aspects of the relationship including trouble shooting and client manual/policy knowledge. ESSENTIAL FUNCTIONS Duties and Responsibilities • Handles heavy inbound call volume with knowledge to address more complex concerns from Provider Community. • Interacts with providers, in...

Provider Services Rep II

Location: Augusta Maine

Description: Molina Healthcare is hiring Provider Services Rep II right now, this position will be placed in Maine. More complete informations about this position opportunity kindly read the description below. Acts as the liaison between the customer, the provider community and other health care representatives. Supports all aspects of the relationship including trouble shooting and client manual/policy knowle! dge.

ESSENTIAL FUNCTIONS

Duties and Responsibilities

• Handles heavy inbound call volume with knowledge to address more complex concerns from Provider Community.
• Interacts with providers, in a timely and professional manner, including escalating recurring or critical issues to appropriate Team Lead or Manager.
• Navigates through the system with efficiency.
• Meets and retains all quality and production standards set by management and/or customer.
• Handles special projects that include but are not limited to member mail, LTC calls, Nursing Home, Hospice, and mild research, in timely manner.

Knowledge, Skills and Abilities

• Ability to work independently with little to no supervision
• Ability to multi task in a high paced environment and retain information
• Excellent organizational, and verbal and written communication skills
• Excellent time management skills
• Proficient knowledge of Microsoft Office
• Must! possess knowledge and skill to support and enable less experienced staff
• Ability to abide by Molina policies
• Ability to maintain attendance to support required quality and quantity of work
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
• Other duties as assigned.
• Ability to take on special projects as assigned

QUALIFICATIONS

Required Education

• High School Diploma or equivalent GED

Required Experience

• 3-5 years Customer Service/Call Center experience in medical claims
• Familiarity with Data Input
• Proficient knowledge of Microsoft Office

Preferred Experience

• Medicaid
• Medical Claims Processing

To all current M! olina employees if you are interested in applying for this position please fill out an Employee Transfer Request Form (ETR) and attach it to your profile when applying online. Be sure to let us know you are a current employee by selecting “Molina Employee (current) in the source section of the online application.

Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Molina Healthcare.

If you interested on this position just click on the Apply button, you will be redirected to the official website

This position starts available on: Fri, 15 Mar 2013 21:46:36 GMT

Apply Provider Services Rep II Here