Rep, Enrollment

Company: Molina Healthcare
Location: Coral Springs
Posted on: August 5, 2022

Job Description:

JOB DESCRIPTION Job Summary Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received via call tracking, claims, or e-mail. Maintain records in the enrollment database. 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.
• Process COB eligibility through Molina application to ensure accurate information is represented in Molina's enrollment system.
• 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. 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 - 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. #PJCore #LI-BEMORE

Keywords: Molina Healthcare, Pompano Beach , Rep, Enrollment, Other , Coral Springs, Florida