Molina Healthcare Job Openings in Arizona: Claims Support Roles Available
Molina Healthcare, a Fortune 500 organization, is actively recruiting for entry-level claims support positions in Arizona. These roles focus on resolving member and provider issues related to claims, ensuring adherence to Centers for Medicare and Medicaid Services (CMS) standards.
Job Summary and Responsibilities
The Claims Support position is designed to provide foundational support for claims activities. Key responsibilities include:
- Reviewing and resolving member and provider complaints.
- Communicating resolutions to members or their representatives.
- Entering denials and appeals requests into the system.
- Preparing documentation for further review of appeals.
- Researching claims issues using available systems and resources.
- Ensuring timely and appropriate processing of appeals according to state and federal guidelines.
- Requesting and obtaining necessary medical records and billing information.
- Drafting responses to member appeals and grievances.
- Generating and mailing denial letters.
- Collaborating with internal departments to resolve complex issues.
- Maintaining statistics and reports related to appeals and grievances.
Qualifications
Molina Healthcare seeks candidates with at least one year of experience in claims processing or customer/provider service within a healthcare setting, or an equivalent combination of education and experience. Essential skills include:
- Customer service experience.
- Strong organizational and time management skills.
- Effective verbal and written communication skills.
- Proficiency in Microsoft Office Suite or similar software.
Preferred qualifications include experience in a managed care organization (Medicaid, Medicare, Marketplace) or a medical office/hospital setting. Completion of a healthcare-related vocational program (e.g., certified coder, billing specialist, or medical assistant) is also a plus.
Compensation and Benefits
The hourly pay range for this position is $21.65 to $34.88, with actual compensation varying based on geographic location, experience, education, and skill level. Molina Healthcare offers a competitive benefits and compensation package.
About Molina Healthcare
Molina Healthcare is dedicated to providing quality healthcare to individuals receiving government assistance. The company emphasizes a team-oriented environment and a commitment to making a positive impact on the lives of others. Molina Healthcare of Arizona currently serves residents in Gila, Maricopa, and Pinal County.
How to Apply
Current Molina employees should apply through the Internal Job Board.
Locations in Arizona
While the job posting doesn’t specify a single location, Molina Healthcare has a presence in several Arizona cities, including Phoenix, Scottsdale, Chandler, and Mesa. Find a Molina Healthcare location in Tucson, AZ and other areas through online directories.
Find a Doctor
Members can apply the Molina Healthcare Provider Online Directory to find doctors and pharmacies.