Representative, Support Center - Remote

Molina Healthcare

United StatesRemote onlyFull time
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Pay
$11 to $24
an hour
Location
United States
Work style
Remote only
Job type
Full time
Posted
Oct 26
1 day ago
Career path

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About the company

Molina Healthcare

Hospitals and Health Care · 10,001+ employees

Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care.

Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.

Molina Healthcare on LinkedIn

What you'll do

  • Provide level I support to health plan members and providers through phone, chat, email, and administrative channels, resolving inquiries about eligibility, benefits, portals, and claims.
  • Document interactions, conduct surveys, meet performance and schedule expectations, and coordinate timely follow-up with internal and external stakeholders.

What you need

  • Requires up to one year of customer service, call center, or sales experience, or an equivalent combination of education and experience, along with customer service and data processing skills.
  • Candidates should have strong communication, organization, time-management, and attention-to-detail skills, maintain HIPAA confidentiality, and demonstrate basic Microsoft Office proficiency.

Key skills

Customer ServiceCall Center SupportMember And Provider SupportIssue ResolutionActive ListeningEmpathyData ProcessingAccurate DocumentationAttention To DetailOrganizationTime ManagementVerbal CommunicationWritten CommunicationConfidentialityHIPAA ComplianceMicrosoft Office

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See full description on company page, apply now

Read the full posting here
JOB DESCRIPTION Job Summary Provides level I support center customer service excellence to meet the needs of Molina members and providers.  Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values.  Provides product and service information, and identifies opportunities to improve the member and provider experience.   Essential Job Duties • Provides service support to members and/or providers using one or more support center communication channels serving multiple states and/or products including but not limited to:  phone, chat and email, in addition to other administrative off phone duties supporting Medicaid, Medicare and/or Marketplace lines of business.   • Conducts various surveys related to health assessments and member/provider satisfaction. • Accurately documents pertinent details related to member or provider inquiries.  • Works regularly scheduled shifts within Molina hours of operation, follows protocol related to scheduled lunches and breaks, and accommodates overtime and/or weekends as needed. • Demonstrates ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations. • Listens attentively, captures relevant information, and identifies member or provider inquiries and concerns. • Meets or exceeds individual performance goals established for the position in the areas of: call quality, attendance, adherence and other support center objectives. • Proactively engages and collaborates with various internal/external stakeholders. • Demonstrates personal responsibility and accountability by taking ownership of real-time solutioning and timely member and/or provider follow-up. • Supports provider needs related to inquiries and assistance involving member eligibility and covered benefits, provider portal, and status of submitted claims.   Required Qualifications • Up to 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment, or equivalent combination of relevant education and experience. • Customer service skills. • Data processing experience. • Attention to detail, organizational and time-management skills, and ability to manage simultaneous tasks to meet business needs. • Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA). • Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers. • Effective verbal and written communication skills.   • Basic proficiency in Microsoft Office suite and applicable software programs.     Preferred Qualifications • Systems training/experience for the following : Microsoft Office, Microsoft Teams, Genesys, Salesforce, Pega, QNXT, CRM, Verint, video conferencing, CVS Caremark, Availity. • Call center experience. • Managed care/health care experience.     To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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