Provides customer support to meet the needs of our Molina members and providers. Utilize excellent communication skills. Resolves issues and addresses needs fairly and effectively. Provides product and service information, and identifies opportunities to improve our member and provider experiences. Handles incoming calls in regards to Coordination of benefits, pharmacy calls to provide billing information, eligibility information and even locating a new provider when needed. Cross Trained for… Show more Provides customer support to meet the needs of our Molina members and providers. Utilize excellent communication skills. Resolves issues and addresses needs fairly and effectively. Provides product and service information, and identifies opportunities to improve our member and provider experiences. Handles incoming calls in regards to Coordination of benefits, pharmacy calls to provide billing information, eligibility information and even locating a new provider when needed. Cross Trained for Redetermination, assisting members with renewal applications as well as reminding them of their renewal dates for Medicaid, making outbound calls to members Show less

The Care Coordinator Scheduler will arrange and coordinate the schedules on a daily and weekly basis, as well as route and organize patients in the order that the nurse practitioner will see them in the home. They will ensure test results and records are requested and available for the appointment, and contact patients on a daily basis in order to arrange in advance and confirm next-day appointments.

Responsibilities include working in a fast-paced call center environment and responding to patient and provider requests for assistance. Remain composed during moments of stress and able to maintain a helpful disposition at all times. Maintain confidentiality at all times when handling private health information. I am constantly learning new policies and procedures. I am also trained in the Epic computer system to handle patient appointments. I work independently to solve problems and handle… Show more Responsibilities include working in a fast-paced call center environment and responding to patient and provider requests for assistance. Remain composed during moments of stress and able to maintain a helpful disposition at all times. Maintain confidentiality at all times when handling private health information. I am constantly learning new policies and procedures. I am also trained in the Epic computer system to handle patient appointments. I work independently to solve problems and handle both patient and providers' needs. I also multitask being on the phone and the computer Show less

Responsibilities included reaching out to potential students interested in the field of nursing. I handled the scheduling of admissions appointments, having complete knowledge of a variety of programs offered throughout 5 different states. I also did clerical work in accordance with new leads generated through open houses as well as keeping up with new training and process materials for incoming hires. I have a vast knowledge of Salesforce. I also trained new employees and was the team leader… Show more Responsibilities included reaching out to potential students interested in the field of nursing. I handled the scheduling of admissions appointments, having complete knowledge of a variety of programs offered throughout 5 different states. I also did clerical work in accordance with new leads generated through open houses as well as keeping up with new training and process materials for incoming hires. I have a vast knowledge of Salesforce. I also trained new employees and was the team leader for my shift. Show less

Responsibilities included prior authorizations, taking inbound calls from members, making outbound calls to members, understanding and following HIPPA regulations, understanding and following Medicare laws, answering questions regarding billing and enrollment, knowledge of systems such as CI, AE, and Macess, and dealing with high-stress situations to find a resolution. Additionally, I was trained to become a Subject Matter Expert.