Long Beach, CA · On-site
$20.34 - $30.39/hr
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... in processing of clinical correspondence. • Ability to work effectively in a fast-paced, high ...
Long Beach, CA · On-site
$20.34 - $30.39/hr
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... in processing of clinical correspondence. • Ability to work effectively in a fast-paced, high ...
$20.34 - $30.39/hr
Essential Job Duties Provides telephone, clerical and data entry support for the care review team ... processing of clinical correspondence. Ability to work effectively in a fast-paced, high-volume ...
$20.34 - $30.39/hr
Essential Job Duties Provides telephone, clerical and data entry support for the care review team ... processing of clinical correspondence. Ability to work effectively in a fast-paced, high-volume ...
El Paso, TX · On-site
Care Review Processor Duration: 4+ months contract Location: Texas USA 79902 Hours: Mon- Fri 8:00 AM to 5:00 PM Top Three Skill Sets: Customer Service, Computer Skills and medical terminology
El Paso, TX · On-site
Care Review Processor Duration: 4+ months contract Location: Texas USA 79902 Hours: Mon- Fri 8:00 AM to 5:00 PM Top Three Skill Sets: Customer Service, Computer Skills and medical terminology
Columbus, OH · On-site
... review for other healthcare services * Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate ...
Columbus, OH · On-site
... review for other healthcare services * Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate ...
Columbus, OH · On-site
Title : Care Review Processor Location : Columbus, OH Duration : 3+ Months Responsibilities : Temp for 90 days, no possibility of going permanent. M-F 8 am to 5 pm, no OT. Building case prior ...
Columbus, OH · On-site
Title : Care Review Processor Location : Columbus, OH Duration : 3+ Months Responsibilities : Temp for 90 days, no possibility of going permanent. M-F 8 am to 5 pm, no OT. Building case prior ...
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Miami, FL · On-site
$14 - $26.42/hr
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Miami, FL · On-site
$14 - $26.42/hr
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Saint Petersburg, FL · On-site
$14 - $26.42/hr
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
Saint Petersburg, FL · On-site
$14 - $26.42/hr
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
$14 - $26.42/hr
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
$14 - $26.42/hr
Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... Processor at Molina. • Strong attention to detail, and ability to work within regulatory and ...
$14 - $26.42/hr
Essential Job Duties Provides telephone, clerical and data entry support for the care review team ... Previous experience as a Correspondence Processor at Molina. Strong attention to detail, and ...
$14 - $26.42/hr
Essential Job Duties Provides telephone, clerical and data entry support for the care review team ... Previous experience as a Correspondence Processor at Molina. Strong attention to detail, and ...
Springfield, IL · On-site
$40 - $42/hr
Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Springfield, IL · On-site
$40 - $42/hr
Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Cherry Valley, IL · On-site
$40 - $42/hr
Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Cherry Valley, IL · On-site
$40 - $42/hr
Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Spokane, WA · On-site
... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
Spokane, WA · On-site
... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
Chicago, IL · On-site
$40 - $42/hr
Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Chicago, IL · On-site
$40 - $42/hr
Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...
Troy, MI · On-site
Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... Follow members from admission process all the way through to discharge, find discharge plan and ...
Troy, MI · On-site
Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... Follow members from admission process all the way through to discharge, find discharge plan and ...
Spokane, WA · On-site
Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... process through claim review, medical record review and research. To provide expert knowledge in ...
Spokane, WA · On-site
Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... process through claim review, medical record review and research. To provide expert knowledge in ...
Papillion, NE · On-site
$16.50 - $18/hr
Fast hiring process for qualified applicants What You'll Do As an Overnight Care Professional, you'll travel to clients and provide attentive, compassionate care that helps seniors remain safe ...
Papillion, NE · On-site
$16.50 - $18/hr
Fast hiring process for qualified applicants What You'll Do As an Overnight Care Professional, you'll travel to clients and provide attentive, compassionate care that helps seniors remain safe ...
Troy, MI · On-site
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Troy, MI · On-site
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Fort Lauderdale, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Fort Lauderdale, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Miami Gardens, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Miami Gardens, FL · On-site
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
$8.89 - $10.45
6% of jobs
$10.45 - $12
6% of jobs
$13.34 is the 25th percentile. Wages below this are outliers.
$12 - $13.55
14% of jobs
$13.55 - $15.10
19% of jobs
The median wage is $15.49 / hr.
$15.10 - $16.65
15% of jobs
$16.65 - $18.20
13% of jobs
$18.35 is the 75th percentile. Wages above this are outliers.
$18.20 - $19.76
9% of jobs
$19.76 - $21.31
5% of jobs
$21.31 - $22.86
5% of jobs
$22.86 - $24.41
3% of jobs
$24.41 - $25.96
3% of jobs
$8
$16
$25
Cities with the most Overnight Care Review Processor job openings:
The most popular types of Care Review Processor jobs are:
States with the most job openings for Overnight Care Review Processor jobs include:
Long Beach, CA • On-site
8.0
Based on 199 frontline employees who took The Breakroom Quiz
171st of 315 rated insurance
People enjoy working here
Good employer
Recommended by students
Recommended by parents
Respectful managers
$20.34 - $30.39/hr
Full-time
Posted 25 days ago
JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to utilization management team and contributes to interdisciplinary 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
• Provides telephone, clerical and data entry support for the care review team.
• Provides computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding admissions and discharges and billing codes.
• Responds to requests for authorization of services submitted via phone, fax and mail according to operational timeframes.
• Contacts physician offices according to department guidelines to request missing information from authorization requests or for additional information as requested medical directors.
Required Qualifications
• At least 1 year of experience in an administrative support role, preferably within a health care environment supporting correspondence or clinical communications, or equivalent combination of relevant education and experience.
• Strong attention to detail, and ability to work within regulatory and internal requirements for letter generation.
• Strong organizational and time-management skills, and ability to manage multiple letter queues and deadlines.
• Excellent verbal and written communication skills, and ability to ensure clarity and precision in all correspondence.
• Willingness to learn and adapt to new programs, software systems, and lines of business.
• Ability to research, obtain feedback, and integrate necessary adjustments into letters to meet quality standards.
• Ability to manage multiple tasks simultaneously, and ensure quality and compliance in all produced correspondence.
• Ability to maintain confidentiality and ensure compliance with all relevant guidelines, regulations, and policies in processing of clinical correspondence.
• Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet deadlines.
• Ability to collaborate effectively with team members and internal departments.
• Basic Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Previous experience in a health care correspondence or clinical communications role, with an understanding of regulatory and accreditation rules related to clinical determinations.
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: $20.34 - $30.39 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
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