Care Management Processor - Inbound Customer Service

Remote Full-time
JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • This candidates would be working in an Inbound Call center supporting Service Coordinators and would require to be 100% on phone serving Members and Providers. • Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members. • Facilitates initial review of assigned case levels and assists in case management assignment to care managers. • Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan. • Schedules member visits with care managers as needed. • Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services. • Coordinates required member services in accordance with member benefit plan. • Promotes communication both internally and externally to enhance effectiveness of care management services. • Processes member and provider correspondence. Required Qualifications • At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience. • Strong attention to detail. • Problem-solving skills. • Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software. • Excellent customer service skills. • Time-management and organizational skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Certified Medical Assistant (CMA). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $14.9 - $29.06 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Apply tot his job
Apply Now →

Similar Jobs

Primary Care Medical Coder

Remote Full-time

PB Coder (Coding Specialist 2)

Remote Full-time

Experienced Medical Data Entry Associate – Remote Full-Time Opportunity for Detail-Oriented Professionals with ICD 10 Coding Knowledge

Remote Full-time

(Easy Way To) bolthires Data Entry Health Remote Jobs – 20$/H

Remote Full-time

Aston Carter Remote Medical Records/data Entry in Rockford, Illinois

Remote Full-time

**Experienced Patient Records Data Entry Specialist – Electronic Medical Records Management**

Remote Full-time

Clinical Specialist, CRM - Morristown, NJ

Remote Full-time

Clinical Content Editor - PGY-1/Medical Students

Remote Full-time

Medical Writer, Nursing and Health Professions

Remote Full-time

Sr Clinical Medical Writer (Remote / Flexible)

Remote Full-time

**Experienced Full Stack Customer Support Specialist – Live Chat & Customer Service**

Remote Full-time

Entry-Level Data Entry Clerk for Remote Full-Time Position with Opportunities for Growth and Professional Development at blithequark

Remote Full-time

Amazon Delivery Driver

Remote Full-time

**Customer Care Administrator (Remote) – Participate in Paid Focus Groups, Clinical Trials, and Phone Interviews**

Remote Full-time

Experienced Remote Data Entry Specialist – E-commerce & Cloud Computing at Blithequark

Remote Full-time

Property Field Claims Specialist - Central New Jersey (Remote)

Remote Full-time

Facilities Maintenance Coordinator - Remote Work Opportunity with a Leading Healthcare Provider

Remote Full-time

[Remote] Jr. Cyber Incident Analyst

Remote Full-time

Graphic Design Internship, WPS Marketing (June 2025)

Remote Full-time

**Experienced Customer Service Representative – Delivering Exceptional Arenaflex Experiences**

Remote Full-time
← Back to Home