Representative, Customer Experience (Must reside in OH)

Molina Healthcare; Long Beach (CA); Remote; USD 35,000 - 50,000; Full time

Job summary

A healthcare organization in California is seeking a Customer Service Representative to provide support to members and providers. This role requires strong customer service skills and the ability to work in a fast-paced environment. Candidates should have 1-3 years of experience and excellent communication skills. Additional training in tools like Salesforce and Microsoft Office is preferred. Competitive benefits and compensation are offered.

Benefits

Competitive benefits and compensation

Equal Opportunity Employer

Qualifications

• 1-3 years of Sales and/or Customer Service experience in a high-volume environment.
• Ability to work over-time and/or weekends as needed.
• Effective communication in a professional setting.

Responsibilities

• Provide service support to members using contact center communication channels.
• Document details related to member or provider inquiries.
• Engage with internal/external departments to resolve issues.

Skills

Customer service

Communication

Problem-solving

Education

High School Diploma or equivalent

Associate's Degree

Tools

Microsoft Office

Salesforce

Genesys

Job description

Job Summary

JOB DESCRIPTION

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.

Responsibilities

• 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.

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