• Correspondence Processor - Remote (Must…

    Molina Healthcare (Dayton, OH)
    …of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Provides clerical , data entry and/or telephone support for the Utilization Management team. ... + Manages the workflow for responses to incoming authorization requests and correspondence from Molina members and providers, collaborating with team members to provide timely replies. + Generates, processes, tracks and stores authorization requests and… more
    Molina Healthcare (01/21/25)
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  • Care Review Processor

    Molina Healthcare (Columbus, OH)
    …of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Provides telephone, clerical , and data entry support for the Care Review team. + Provides ... computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding… more
    Molina Healthcare (01/21/25)
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  • Case Management Processor - Remote (must…

    Molina Healthcare (Columbus, OH)
    …of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Provides telephone, clerical , and data entry support for the Case Management team. + Responsible ... for initial review of assigned case levels to assist in Case Management assignment. + Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team members as… more
    Molina Healthcare (01/21/25)
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