Rep, Enrollment job vacancy in Molina Healthcare – Jobs in Florida

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We got a new job details in Molina Healthcare & they are Hiring Candidates for Rep, Enrollment

Job Details
Company Name :
Molina Healthcare
Company Location :
West Palm Beach, FL 33420
Job Position :
Rep, Enrollment
Job Category :
Jobs in Florida

Job Description :

Job Summary

Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan’s member and enrollment records, employer’s monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received via call tracking, claims, or e-mail. Maintain records in the enrollment database.


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, to include call center requests for verification and updates, PCP assignment activity, enrollment record error reports, enrollment/disenrollment activity and Mass Member Moves.
Work on claims queue to ensure timely and accurate processing of claims pended due to enrollment or COB related issues.


Required Education

Associate degree or equivalent combination of education and experience

Required Experience

1-3 years

Preferred Education

Bachelor’s Degree or equivalent combination of education and experience

Preferred Experience

3-5 years

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.



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