Directs the assigned department on policy and procedures related to call center/correspondence/field inquiries. Supervises the team including recruitment, development and motivation of staff.Initiates personnel actions including employment, terminations, performance/salary reviews and disciplinary actions. Facilitates meetings with the teams to discuss issues/suggestions for improvement and assists the manager with the implementation of changes. Resolves problems to insure compliance and customer satisfaction. Builds trust and strong business relationships internally & externally. Researches, reports and analyzes call center/correspondence/field data and creates reports for results, monitoring and recommendations.Good knowledge and understanding of Medicaid policies and procedures,Good working knowledge of the Medicaid policies, medical billing, authorization processes, and enrollment. Ability to build positive and collaborative relationships,Leadership qualities. Ability to multi-task in a high paced environment,Excellent verbal and written communication skills Excellent customer service skills Excellent organizational and analytical skills Ability to abide by Molina’s policies Ability to maintain attendance to support required quality and quantity of work Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers Required Education Bachelor’s Degree in business or other health care related field or equivalent experience as required by contract
Listed skills include Icd 9, Cpt Coding, Trizetto Software, Microsoft Excel, and 5 others.
