Molina Healthcare

Adjudicator, Provider Claims

Molina Healthcare

Des Moines, IA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

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.

Where is this job?
This job is located at Des Moines, IA, USA
Job Qualifications
  • 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

Required Skills
  • Auditing

  • Documenting

  • Researching

  • Interpreting

  • organizing

  • Problem-Solving

  • Multi-tasking

  • Decision-Making

  • communicating

  • Negotiating

  • Analyzing

  • Collaborating

  • Prioritizing

  • Mediating

  • Comparing

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Negotiation

  • Time management

  • Interpersonal Skills

  • Organization

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

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.

Additional Information
Molina Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMay 8th, 2023
Apply BeforeMay 22nd, 2025
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About Molina Healthcare

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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