4A - Molina Assistant Manager
4A - Molina Assistant Manager
Posted on :
27-08-2025
Employer Active
1 Vacancy
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Job Description
Assistant Manager-Medicaid Enrollment
- Process daily enrollee invoices and premium reconciliation for Marketplace members.
- Perform month-end invoicing and accuracy audits.
- Administer claims payments maintain claim records and provide counsel to claimants regarding coverage amount and benefit interpretation.
- Monitor and control backlog and workflow of claims and ensure that claims are settled in a timely fashion and in accordance with cost control standards.
- Assist in the resolution of escalated premium payment issues with the Appeals and Grievances team.
- Guide and collaborate with the Enrollment team to resolve eligibility issues affecting premium billing.
- Ensure the accurate billing and posting of payments on accounts.
- Complete adjustments for bad debt accounts and is responsible for the timely correction of posting errors.
- Verify document and investigate the presence of health care coverage for Medicaid recipients and their families.
- Assist in the identification of members who may qualify for the HIPP/Premium Assistance program.
- Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.
- Partner with enrollment teams and offer guidance where premiums are directly impacted by enrollment discrepancies.
On-site
Qualifications
Basic
- High School Diploma or GED Equivalent
- At least 6 years of relevant work experience
- Knowledge of basic Medicaid/Medicare billing rules regulations and deadlines
- Must have excellent time management and organizational skills.
- Strong team-oriented individual.
- Excellent communication with all levels of the team.
- Must have strong knowledge and experience in MS Office products minimally Outlook Word and Excel.
- Access or SQL experience is a plus.
- Experience in Team Leadership
About Us
Infosys BPM Limited a wholly owned subsidiary of Infosys Limited (NYSE: INFY) provides end-to-end transformative business process management (BPM) services for its clients across the globe. The companys integrated IT and BPM solutions approach enables it to unlock business value across industries and service lines and address business challenges for its clients. Utilizing innovative business excellence frameworks ongoing productivity improvementsprocess reengineeringautomation and cutting-edge technology platforms Infosys BPM enables its clients to achieve their cost reduction objectives improve process efficiencies enhance effectiveness and deliver superior customer experience.
Infosys BPM has 44 delivery centers in 16 countries spread across 5 continents with 59443 employees from 108 nationalities as of March 2025.
The company has been consistently ranked among the leading BPM companies globally and has received over 60 awards and recognitions in the last 5 years from key industry bodies and associations like the Outsourcing Center SSON and GSA among others. Infosys BPM also has very robust people practices as substantiated by the various HR-specific awards it has won over the years. The company has consistently been ranked among the top employers of choice on the basis of its industry leading HR best practices. The companys senior leaders contribute widely to industry forums as BPM strategists.
EOE/Minority/Female/Veteran/Disabled/Sexual Orientation/Gender Identity/National Origin
Infosys is an equal opportunity employer and all qualified applicants will receive consideration without regard to race color religion sex sexual orientation gender identity national origin protected veteran status spouse of protected veteran or disability.
Required Experience:
Manager
Employment Type
Full Time
Key Skills
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