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