Job description

Performs processes to resolve the following eligibility exceptions within the required State/Regulatory timeframes:
Enrollment file errors, ID card generation errors, PCP assignments and, 834 enrollment files to vendor/third-party administrators.
Process COB eligibility through Molina application to ensure accurate information is represented in Molina's enrollment system
Assists with the support of the newborn enrollment functions, including call center, claims, and encounter requests for verification and updates, PCP assignment activity, enrollment record error reports, enrollment/dis-enrollment activity and Mass Member Moves.
As needed is available to support special projects
Prioritizes daily, weekly, and monthly job tasks to support regulatory requirements and service level agreements.
Displays imitative to complete assigned tasks timely and accurately and balances workload to assist peers and Supervisor.
Provides knowledgeable response to internal and external inquiries regarding eligibility, ID cards,
selection of primary, care provider, and state enrollment transactions.
Reconciles eligibility with State Agencies using varied methods. Tracks and documents all transactions with State Agencies.

Job Type: Contract

Pay: $19.60 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: One location

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