Care Review & Authorization Specialist

Molina Talent Acquisition; United States; On-site; USD 40,000 - 56,000; Full time

Job summary

Molina Healthcare is seeking an administrative support assistant to assist the utilization management team with data entry, correspondence, and provider inquiries. You will help process authorization requests, verify eligibility, and maintain accurate records in a fast-paced environment.

Ideal candidates have at least 1 year in admin support, strong attention to detail, excellent written and verbal communication, and the ability to adapt to new software and regulatory requirements.

Qualifications

• 1+ year in administrative support, healthcare preferred or equivalent experience.
• Strong attention to detail and ability to follow regulatory requirements for letters.
• Excellent written and verbal communication skills for clear correspondence.
• Willingness to learn new programs and adapt to new software systems.

Responsibilities

• Provide telephone, clerical and data entry support for care review team.
• Enter authorizations, eligibility, benefits verification, and related provider inquiries.
• Respond to authorization requests via phone, fax, and mail within stated timeframes.
• Contact physician offices to obtain missing information as requested.

Skills

Administrative support

Data entry

Communication skills

Time management

Regulatory compliance

Attention to detail

Team collaboration

Tools

Microsoft Office

Job description

Molina Healthcare is seeking an administrative support assistant to assist the utilization management team with data entry, correspondence, and provider inquiries. You will help process authorization requests, verify eligibility, and maintain accurate records in a fast-paced environment.

Ideal candidates have at least 1 year in admin support, strong attention to detail, excellent written and verbal communication, and the ability to adapt to new software and regulatory requirements.