Representative, Customer Experience (Remote)

Molina Healthcare; Jackson (MS); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare company is seeking a Remote Customer Experience Representative to provide stellar service and support to members and providers. This role involves resolving issues effectively while maintaining a customer-focused approach, requiring adaptive skills in a fast-paced environment.

Qualifications

• 1-3 years Sales and/or Customer Service experience.
• Ability to work within scheduled hours and on weekends as necessary.
• Capable of meeting/exceeding performance goals.

Responsibilities

• Provide service support to members and/or providers via phone, chat, and email.
• Accurately document details related to inquiries.
• Build rapport and respond empathetically to customers.

Skills

Customer Service

Sales

Communication

Empathy

Adaptability

Education

HS Diploma or equivalent

Associate’s Degree or equivalent (preferred)

Tools

Microsoft Office

Salesforce

Genesys

Pega

Job description

Representative, Customer Experience (Remote - Outbound)

Join to apply for the Representative, Customer Experience (Remote - Outbound) role at Molina Healthcare

Representative, Customer Experience (Remote - Outbound)

Join to apply for the Representative, Customer Experience (Remote - Outbound) role at Molina Healthcare

Job Description

Start Date: 8/11/2025

Shift: Monday – Friday 10:30am – 7:00pm CST

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: $15 - $24.02 / HOURLY

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

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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