
Adjudicator, Provider Claims
Are you an experienced Adjudicator, Provider Claims looking to join an innovative team at Molina Healthcare? We are a mission-driven healthcare organization with a commitment to providing access to quality, affordable care for those most in need. We are seeking an individual with an eye for detail and a passion for delivering quality service.The successful Adjudicator, Provider Claims will be responsible for ensuring timely and accurate claims adjudication and maintaining compliance with all applicable policies and laws. In this role, you will maintain a superior working knowledge of claims adjudication, medical terminology, coding, and procedures. The ideal candidate will possess a thorough understanding of claims processing and be able to effectively utilize technical and software systems.To be successful in this role, you must possess the following qualifications:• 5+ years of experience in claims processing with a proficient level of expertise• Experience with adjudication of medical claims• An in-depth knowledge of health plan benefits, coding, and medical terminology• Proficiency in Microsoft Office Suite and claims processing software• Proven organizational and multitasking abilities• Excellent verbal and written communication skillsIf you possess the necessary qualifications and are ready to take on a challenging position at an innovative healthcare organization, we would love to hear from you.
Ability To Work Independently And As Part Of A Team
Excellent Communication Skills
Proficiency In Microsoft Office Applications
Strong Analytical Skills
Understanding Of Medical Billing
Knowledge Of Insurance And Healthcare Regulations
Process Improvement Experience
Knowledge Of Molina Healthcare Policies And Procedures
Auditing
Documenting
Researching
Interpreting
organizing
Problem-Solving
Multi-tasking
Decision-Making
communicating
Negotiating
Analyzing
Collaborating
Prioritizing
Mediating
Comparing
Communication
Conflict Resolution
Leadership
Negotiation
Time management
Interpersonal Skills
Organization
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Adjudicator, Provider Claims in Des Moines, IA, USA is $47,000 - $67,000. This range may vary depending on the employer, the employee's experience, and other factors.
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Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.

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