Adjudicator, Provider Claims (Remote)-Must Reside In Ohio

Job Description
Job Summary
The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems.
Knowledge/Skills/Abilities
Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems.
This role is involved in member enrollment, provider information management, benefits configuration and/or claims processing.
Responds to incoming calls from providers regarding claims inquiries and provides excellent customer service; documents calls and interactions.
Assists in the reviews of state or federal complaints related to claims.
Supports the other team members with several internal departments to determine appropriate resolution of issues.
Researches tracers, adjustments, and re-submissions of claims.
Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards.
Manages defect reduction by supporting the identifying and communicating error issues and potential solutions to management.
Handles special projects as assigned.
Knowledgeable in systems utilized:
QNXT
Pega
Verint
Kronos
Microsoft Teams
Video Conferencing
Others as required by line of business or state
Job Function
Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina values in their actions. Responsible for effectively managing and documenting calls and responding to providers regarding issues with claims and inquiries. Handles escalated inquiries, complex Provider Claims payments, records, and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators.
Job Qualifications
REQU I RED ED U C A TI O N :
Associate’s Degree or equivalent combination of education and experience;
REQU I RED E X PE R I E N C E:
2-3 years customer service, claims, provider and investigation/research experience. Outcome focused and knowledge of multiple systems.
1+ years of claims research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry
PR E FE R RED ED U C A TI O N :
Bachelor’s Degree or equivalent combination of education and experience
PR E FE R RED E X PE R I E N C E:
4 years
PHY S I C AL DEM A N D S :
W o rki n g en v i r o nm ent is g e n erally f a vo r a b le and li gh t i n g and t e m p erature are a d eq u at e . W o rk is g eneral l y p erf o r m ed in a home or o ff i ce e n v i r o n m ent in w h i c h t h ere is o n l y m i n i m al e x p o su r e to u np leasa n t a nd /o r ha z ar d o u s w o rki n g c o nd iti o n s. M u s t h a v e t h e a b ility t o s i t f o r l o n g p eri o d s. Rea s o n a b le acc om mo d a ti o n s m a y be m a d e to e n a b le in d i v i du als with d i sa b ilities t o p er f o r m t h e e ssential fu n cti o n .
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $14.76 - $31.97 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.