Representative, Customer Experience
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice.
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.
- 1-3 years
- Preferred Systems Training:
- Microsoft Office
- Genesys
- Salesforce
- Pega
- QNXT
- CRM
- Verint
- Kronos
- Microsoft Teams
- Video Conferencing
- CVS Caremark
- Availity
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Recommended Jobs
Locum Medical Oncologist
Palm Health Resources is currently hiring for a Locum Medical Oncologist to provide ongoing locums coverage in Northwest Ohio! Come work in a primarily outpatient setting with some light inpatient du…
Sitework Estimator
Job Description Job Description Location: Newark, Ohio Compensation: Competitive salary based on experience Benefits: Health, Dental, Vision, Paid Time Off, 401(k) with match, and oppo…
Chiropractic Office Administrative Manager
Job Description Job Description Are you a highly organized, energetic, and experienced office professional looking to work in a dynamic and caring healthcare environment? We are a dedicated chir…
Utility Worker (Dishwasher)
Job Description Job Description AVI Foodsystems is looking for an energetic and optimistic team member to fill the role of Dishwasher. Founded in 1960, AVI Foodsystems has evolved into one …
Staff Accountant
Key Highlight Location: 544 Clinton Street, Circleville, Ohio 43113 (NOT REMOTE) Reports to: Accounting Lead Department: Accounting Job Type: Full-Time Salary Range: $27.00-$30.00 Job …
2nd Shift Supervisor
Job Description Job Description Our growing Hartville Area company is seeking an experienced Second Shift Supervisor to oversee production operations and support daily manufacturing activities…
Algebra/ Higher-Level Math Tutor
Sylvan Learning of Bowling Green, Waterville and Fremont The Sylvan Learning of Bowling Green facilitates two satellite locations in Waterville and Fremont. We are seeking a few new staff members wit…
Sales Associate
Job Schedule Corporate Retail Store Job ID 70904 Sales Associate The salary range for this role is $12.75 to $13.50 per hour. * This position is also eligible for incentive pay based on performa…
Senior Structural Engineer
Senior Structural Engineer - Structural Calculations & Analysis, Revit, AutoCAD - Columbus, OH - JOB 25-01531 Salary Range: $85K - $130K Permanent Position with Benefits. A well-established consulting…
Developmental Disabilities Home Manager
Company info: Graceworks Enhanced Living offers residential and day programming to adults with intellectual and developmental disabilities in four Ohio counties. We believes people thrive when they …