• Care Review Processor

    Molina Healthcare (Dayton, OH)
    …**KNOWLEDGE/SKILLS/ABILITIES** + Provides telephone, clerical, and data entry support for the Care Review team. + Provides computer entries of authorization ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
    Molina Healthcare (03/06/25)
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  • Enrollment Specialist

    System One (Dayton, OH)
    …analyze results using statistical techniques + Completion of daily and monthly pre- processor exceptions in an accurate manner and in accordance with stated service ... patterns in complex data sets + Process mass Primary Care Physician (PCP) changes with Provider Operations + Research...eligibility inquiries from contracted vendors + Filter data and review reports to locate and correct code problems in… more
    System One (03/12/25)
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