Molina Healthcare logo
Molina Healthcare

Molina Healthcare is a Fortune 500 managed care company with a storied history that dates back to 1980 and the opening of a medical clinic by Dr. C. David Molin

Support Center Representative

Location

PST (UTC-8)

Posted

3 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Support Center Representative

Molina Healthcare

Role Description This is a fully remote call center role and will work on Pacific time zone. 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. - 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. Qualifications - Must be bilingual English/Spanish - 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. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Related Categories

Related Job Pages

More Call Center Representative Jobs

IQVIA logo

Bilingual Care Manager – Patient Support Call Center

IQVIA

IQVIA is a publicly-traded healthcare intelligence company founded in 2016 upon the merger of two market leaders: Quintiles and IMS Health. With locations aroun

• Perform outbound calls to obtain appropriate information and document accurately • Responsible for answering in-bound calls and assisting customers with pharmacy related services • Maintain strict professionalism in all communication methods while providing efficient, courteous, and friendly service • Contact insurance companies for benefit investigation and coverage eligibility • Provide prior authorizations and appeals support • Assist patients with the enrollment process for manufacturer and non-profit organization copay assistance programs • Update job knowledge by participating in educational opportunities and training activities • Work efficiently both individually and within a team to accomplish required tasks • Maintain and improve quality results by adhering to standards and guidelines by meeting quality standards set forth by program KPI’s • Report ADE’s according to program policy and guidelines • Adhere to all HIPAA guidelines

Florida + 3 moreAll locations: Florida | Nevada | Oregon | Texas
$23 - $24 / hour
Full TimeRemoteTeam 201-500Since 1928H1B No Sponsor

• Receive 30+ incoming calls a day and create happy guests • Engage with customers via phone and email • Call out or email to guests regularly to follow up with existing customers • Responsible for hitting clear monthly sales goals and KPIs • Maintain call handling expectations • Engage in Lead Campaigns as assigned • Engage in regular training to enhance skills • Meet regularly with Supervisor to discuss metrics and performance • Participate in weekly team meetings and on Teams Chats • Rotating Saturdays required. Will receive one day off that week to compensate • Overtime as needed

Colorado
$0 - $18 / hour

Call Center – Service Travel Sales (Vacation Planner)

Lontours Canada Limited

Globus family of brands provides the best in vacations for a wide variety of travel styles, goals, and budgets. Spanning over 450 vacations across more than 80 countries. With 97+ years in travel, the award-winning Globus family of brands – consisting of Globus, Cosmos, and Avalon Waterways – creates vacations that offer travelers culture-rich experiences featuring must-see sights, the stories behind the scenes, and countless joy-filled memories across the globe.

Role Description Our Vacation Planners create happy guests by providing premier service in finalizing all reservation details to ensure our guests have a fantastic travel experience and become loyal champions of our travel brands. Qualifications - A minimum of 1 year or more experience in a sales and service capacity within a call center environment. - Passionate about a positive guest experience and service minded. - Thrives in a fast-paced, sales/service focused environment. - Excellent verbal skills to communicate with guests in a friendly and efficient manner. - Good time management skills, adaptable, and ability to manage call flow/control. - Demonstrated ability to write effective, professional email communication. - Demonstrating the importance of service in retaining customer loyalty. - Technical and functional skills using a variety of computer applications such as In-house Reservation System, Dynamics 365 (CRM), Intranet, Word, Excel, Outlook, Internet, and may include airline GDS. - Interest in travel and working with points of interest/geography are a plus! - Product knowledge of Globus products, services, policies, and features (key differences) even more a plus! - Ability to work in a call center environment that includes structure, shifts, performance measurements. - Understanding of contact center schedule adherence requirements, adhering to post schedules and using proper phone status. Requirements - Travel industry experience. - 1 year Call Center Experience. - The preferred candidate will hold an associate’s degree (A. A.) or equivalent from two-year College or technical school; six months to one-year related experience in inbound sales work, and travel industry; or equivalent combination of education and experience. - Minimum of 1 year in a Sales or similar role. Responsibilities - Receive 30+ incoming calls a day and create happy guests. - Engage with customers via phone and email. - Call out or email to guests regularly to follow up with existing customers. - Responsible for hitting clear monthly sales goals and KPIs. - Maintain call handling expectations. - Engage in Lead Campaigns as assigned. - Engage in regular training to enhance skills. - Meet regularly with Supervisor to discuss metrics and performance. - Participate in weekly team meetings and on Teams Chats. - Rotating Saturdays required. Will receive one day off that week to compensate. - Overtime as needed. Benefits - 401K Match. - 16-26 days of vacation. - Health, vision, dental and life insurance (For employees working outside US, these benefits may vary slightly). - Work from home options. - Home office internet reimbursement. - Exciting Travel Benefits. EEOC Globus family of brands is an equal opportunity employer. We prohibit discrimination and harassment of any type and afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

United States + 1 moreAll locations: United States | Canada
VES20 / hour
Full TimeRemoteTeam 10,001+H1B Sponsor

• Supervise contact center staff, including active performance management and employee development. • Provide day-to-day supervision of communicators and implement and communicate performance standards. • Provide clarity, gain commitment, and hold team members accountable for performance expectations. • Coach team members for success and support the development of direct reports. • Conduct performance evaluations, coaching sessions, and development planning. • Conduct recruitment interviews, onboarding, and training of new employees. • Address employee performance and conduct issues through coaching, corrective action, and disciplinary processes in accordance with Company policies, due process requirements, and applicable Philippine labour laws. • Proactively monitor staffing levels and workforce requirements. • Coordinate and deliver program training as required. • Create and implement initiatives designed to encourage teamwork and increase employee engagement. • Supervise day-to-day contact center operations to ensure service delivery, quality, compliance, and operational performance objectives are achieved. • Deliver service that meets or exceeds client KPIs and service-level requirements. • Maintain all agreed service levels and operational metrics. • Ensure client needs are met with a high degree of quality and compliance with applicable policies, SOPs, and regulatory requirements. • Manage contact center operations in a fiscally responsible manner. • Collaborate with internal stakeholders to foster a culture of continuous quality improvement and operational excellence. • Monitor inbound and outbound customer interactions to ensure script adherence, call integrity, pharmacovigilance compliance, compliance with the Health Insurance Portability and Accountability Act (HIPAA), the Philippine Data Privacy Act of 2012 (Republic Act No. 10173), and appropriate communication standards.

Philippines