Representative, Customer Experience - Inbound (Remote)

Molina Healthcare; City of Albany (NY); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider is seeking a Customer Support Representative to provide stellar service to members and providers. The role requires 1-3 years of experience in sales or customer service. Responsibilities include resolving inquiries, conducting health assessments, and ensuring member satisfaction. The position offers a competitive pay range of $16.5 - $20.5 per hour with a focus on empathy and effective communication.

Benefits

Competitive benefits and compensation

Equal Opportunity Employer (EOE)

Qualifications

• 1-3 years Sales and/or Customer Service experience in a fast-paced environment.
• Ability to work scheduled shifts and exceed performance goals.
• Proficient in effective communication within a professional setting.

Responsibilities

• Provide service support to members and/or providers.
• Conduct surveys related to health assessments.
• Document pertinent details related to inquiries.
• Support providers with inquiries on member eligibility.

Skills

Customer service experience

Sales experience

Empathy

Ability to build rapport

Attention to detail

Education

High School Diploma

Tools

Microsoft Office

Salesforce

Genesys

CRM

Job description

Job Summary

Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Provides product and service information, and identifies opportunities to improve our member and provider experiences.

Job Duties

• Provide service support to members and/or providers using one or more contact center communication channels and across multiple states and/or products. To include, but not limited to, phone, chat, email, and off phone work supporting our Medicaid, Medicare and/or Marketplace business.
• Conduct varies surveys related to health assessments and member/provider satisfaction.
• Accurately document pertinent details related to Member or Provider inquiries.
• Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time and/or weekends, as needed.
• Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.
• Aptitude to listen attentively, capture relevant information, and identify Member or Provider’s inquiries and concerns.
• Capable of meeting/ exceeding individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence and other Contact Center objectives.
• Able to proactively engage and collaborate with varies Internal/ External departments.
• Personal responsibility and accountability by taking ownership of providing resolutions in real time or through timely follow up with the Member and/or Provider.
• Supports provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.
• Ability to effectively communicate in a professionally setting.

Job Qualifications

REQUIRED EDUCATION :

HS Diploma or equivalent combination of education and experience

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :

1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment

PREFERRED EDUCATION :

Associate’s Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE :

• 1-3 years
• Preferred Systems Training:
• Microsoft Office
• Genesys
• Salesforce
• Pega
• QNXT
• CRM
• Verint
• Kronos
• Microsoft Teams
• Video Conferencing
• CVS Caremark
• Availity

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $16.5 - $20.5 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.