Representative, Enrollment
3 weeks ago
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**: $11.09 - $24.02 / HOURLY
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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