Specialist, IRIS Eligibility Screening

Welcome to Molina Healthcare, where our mission is to provide quality healthcare to underserved populations. We are currently seeking a highly motivated and detail-oriented Specialist for our IRIS Eligibility Screening team. As a Specialist, you will play a crucial role in ensuring that our members receive the appropriate healthcare services and benefits they are eligible for. Your expertise and dedication will directly impact the lives of our members and help us fulfill our mission. If you have a passion for helping others and possess the required qualifications, we encourage you to apply for this rewarding opportunity.

1. Conduct thorough and accurate eligibility screenings for Molina Healthcare members.
2. Utilize knowledge of various healthcare programs and benefits to determine eligibility for members.
3. Communicate effectively with members and assist them in understanding their healthcare options.
4. Collaborate with internal teams and external organizations to gather necessary information for eligibility determinations.
5. Maintain detailed and organized records of eligibility screenings and related information.
6. Ensure compliance with all applicable laws, regulations, and company policies.
7. Continuously monitor and evaluate eligibility processes to identify areas for improvement.
8. Provide exceptional customer service to members, addressing any questions or concerns in a timely and professional manner.
9. Keep up-to-date with changes in healthcare policies and programs to accurately inform members of their eligibility.
10. Adhere to strict confidentiality guidelines to protect sensitive member information.
11. Work with a sense of urgency to meet established productivity and quality standards.
12. Collaborate with team members to achieve team goals and contribute to a positive and supportive work environment.
13. Maintain a positive and professional demeanor at all times, representing Molina Healthcare in a positive light.
14. Complete any additional tasks or projects assigned by management in a timely and efficient manner.

According to JobzMall, the average salary range for a Specialist, IRIS Eligibility Screening in Milwaukee, WI, USA is $51,000 - $65,000 per year. However, this can vary depending on factors such as education, experience, and the specific company or industry the specialist is working in. Some specialists in this role may earn more or less than this range.

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.