Care Review & Authorization Specialist

Molina Healthcare; California; On-site; USD 42,000 - 56,000; Full time

Job summary

Molina Healthcare is seeking an administrative support specialist to assist the utilization management team. The role involves telephone, clerical and data entry tasks, and handling correspondence with accuracy and confidentiality within regulatory guidelines.

You will support letter generation, help verify eligibility and benefits, and coordinate with internal departments to ensure timely processing in a fast-paced health care environment in California.

Qualifications

• 1+ year experience in an administrative support role, preferably in healthcare.
• Experience as a Correspondence Processor at Molina is a plus.
• Strong attention to detail and accuracy in letter generation.
• Ability to manage multiple letter queues and deadlines, within regulatory requirements.

Responsibilities

• Provide telephone, clerical and data entry support for the care review team.
• Enter authorization requests, eligibility, benefits verification, and related data.
• Respond to service authorization requests in line with timelines.
• Contact physician offices to obtain missing information as needed.

Skills

Administrative support

Correspondence processing

Data entry

Regulatory compliance

Microsoft Office

Attention to detail

Communication skills

Time management

Confidentiality

Healthcare environment

Tools

Microsoft Office

Job description

Molina Healthcare is seeking an administrative support specialist to assist the utilization management team. The role involves telephone, clerical and data entry tasks, and handling correspondence with accuracy and confidentiality within regulatory guidelines.

You will support letter generation, help verify eligibility and benefits, and coordinate with internal departments to ensure timely processing in a fast-paced health care environment in California.