Representative, Support Center (Bilingual English/Spanish, Must reside in OH)
On-siteOhio, United States or Molena, Georgia, United States
Ohio, United States or Molena, Georgia, United StatesOn-siteFull TimeHealthcare TechLarge
Full TimeLargeHealthcare Tech
Job Summary
Provide level I support center customer service to Molina members and providers via phone, chat, and email, resolving issues and identifying experience improvement opportunities. Conduct health assessment and satisfaction surveys, accurately document inquiries, and proactively engage stakeholders to exceed customer expectations. Support provider needs regarding eligibility, covered benefits, and claim status while maintaining HIPAA confidentiality. Meet individual performance goals in call quality, attendance, and adherence within Molina hours, accommodating overtime and weekends as needed.
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
Desired 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
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