Care Review Processor Molina Healthcare 815 reviews - Bothell, WA Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. Knowledge/Skills/Abilities * 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 Molina operational timeframes. * Contacts physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director. Job QualificationsRequired Education HS Diploma or GED Required Experience 1-3 years experience in an administrative support role in healthcare. Required License, Certification, Association n/a Preferred Education Associate's Degree Preferred Experience 3+ years experience in an administrative support role in healthcare, Medical Assistant preferred. Preferred License, Certification, Association n/a To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. 15 hours ago - save job - original job Apply On Company Site Other jobs you may like Food Processor SmartTalent - Redmond, WA 3 days ago Easily apply Residential Youth Counselor, Youth Haven Shel... Friends of Youth - Kirkland, WA 19 hours ago Easily apply RECORDS AND INFORMATION MANAGEMENT SPEC Veterans Affairs, Veterans Health Administration - Seattle, WA Department of Veterans Affairs - 1 day ago Pension Processor Zenith American - Bothell, WA 29 days ago Easily apply DSHS Social Service Specialist 2 State of Washington Dept. of Social and Health Services - Seattle, WA State of Washington - 15 hours ago * Care Review Processor jobs in Bothell, WA * Jobs at Molina Healthcare in Bothell, WA * Care Review Processor salaries in Bothell, WA Molina Healthcare Molina Healthcare 815 reviews Navigating the murky waters of federal health care plans is no easy feat, but Molina Healthcare's mission is to help Medicaid and Medicare... Let employers find you Thousands of employers search for candidates on Indeed Upload Your Resume