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Tribal Liaison (Billing & Claims) Remote in New Mexico - Hobbs New Mexico
Company: Molina Healthcare Location: Hobbs, New Mexico
Posted On: 04/17/2024
Molina Healthcare is hiring in New Mexico for several Billing & Claims, Tribal Liaisons. -These roles are specifically responsible -for working with tribal entities regarding billing and claims support and resolution activities. Highly qualified candidates will have strong communication skills, excellent Microsoft Office product knowledge, and experience with Native American provider relationship management. - These roles are remote, candidate must reside in New Mexico, as there may need to travel within the state according to business needs. - Strong claims knowledge and IHS is required. Job SummaryResponsible for continuous quality improvements regarding member engagement and member retention. - Represents Member issues in areas involving member impact and engagement including: Appeals and Grievances, Member Problem Research and Resolution, and the development/maintenance of Member Materials. - Knowledge/Skills/AbilitiesAssists Molina Healthcare in promoting Native American's access to healthcare coverage and educates communities about the general and value added services provided by Molina Healthcare. Responsible for building and maintaining relationships with tribal community leaders, community-based organizations and providers within tribal lands and reservations through a combination of direct and indirect outreach and engagement activities directed toward building enrollment for all Health Plan lines of business. Establishes formal working relationships with and acts as a central point of contact to the Indian Health Services (IHS) facilities and tribal 638 facilities. Interacts with other Molina Healthcare departments to improve services provided to Native American members, prospective members, IHS and tribal 638 providers. As requested, helps support Molina Healthcare's relationship with IHS and tribal 638 facilities and establishes relationships with tribal employers. |
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