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SalaryJOB DESCRIPTION
Job Summary
Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.
KNOWLEDGE/SKILLS/ABILITIES
Coordinates analyzing claims overpayments and determines collection recovery strategies.
Prepares written provider overpayment notification and supporting documentation such as explanation of benefits, claims and attachments.
Handles collection arrangements for overpayment claimants that have not responded to overpayment requests.
Maintains and reconciles department reports for outstanding payments collected, past-due overpayments, uncollectible claims, and auto-payment recoveries.
Prepares and provides write-off documents that are deemed uncollectible, or collections efforts are exhausted for write off approval.
JOB QUALIFICATIONS
Required Education
HS Diploma or GED
Required Experience
0-1 year
Preferred Education
Associate degree or equivalent combination of education and experience
Preferred Experience
1-3 years
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: $13.41 - $29.06 / HOURLY
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
