Patient Service Center Rep II - Remote
Service representative job at Tenet Healthcare
The Patient Service Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day-to-day operations relating to both Financial Clearance and Scheduling of a patient. This includes adherence to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties in addition to full scheduling duties. Upon occasion, the PSC REP II may be only assigned to complex pre-registration. The PSC REP II is expected to develop a thorough understanding of assigned function(s).
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Completes both scheduling functions and registration functions with the patient for an upcoming visit during one call:
* Scheduling: Responsible for timely scheduling, provide callers with important information related to their appointment (i.e. Prep information for test, directions, order management etc.)
* Financial Clearance: up to and including verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection efforts
* If assigned to Order Management: verifies order is complete and matches scheduled procedure. Includes indexing and exporting physicians orders to correct account number.
If assigned to complex Pre-Reg:
* Collect and verify required patient demographic and financial data elements, including determining a patient's financial responsibility and securing pre-payment for future services/performing collection efforts
* Create a complete pre-registration account for an upcoming inpatient/surgical admission
* Completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility
* Other duties as assigned based on departmental needs
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to work in a production driven call-center environment
* Familiarity with working with dual computer monitors (may be required to use dual monitors)
* Must have basic typing ability
* Must have working knowledge of Windows based computer environment
* Ability to multitask in multiple systems (financial clearance and scheduling) simultaneously
* Extensive multitasking ability
* Strong written and verbal communication skills
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* Required: High school diploma or GED
* Preferred: Two plus years of college (two years in a professional, customer service-driven environment may substitute for two years of college), completion of related medical certification program
* Preferred: Telephone/call center experience
* Preferred: Pre-registration and/or scheduling experience
* Preferred: 2-3 years of customer service experience
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to work in sitting position, use computer and answer telephone
* Ability to travel
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office Work Environment
* Hospital Work Environment
TRAVEL
* Approximately 0% travel may be required
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Payment and Research Representative - Remote
Service representative job at Tenet Healthcare
Responsible for performing the payment application functions within the Reimbursement and Cash Management team. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Performs manual and electronic posting functions for all Managed Care, Commercial and Government payors for all patient accounts, including cash balancing and reconciliation of bank deposits.
* Maintains knowledge of insurance rejection/denial processing and appropriately posts information for collection and follow-up activity.
* Post payment corrections, payment transfers, NSF's, inter-facility transfers,
* Payroll deductions and any other cash transactions for A/R accounts according to
* established guidelines.
* Research and clear Unapplied Accounts (bank, MCare, MCaid) using established Identification function/process.
* Reconciles bank and special accounts which may include: research, payment transfer or payment refund.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Computer skills: MS Word, Excel, and Outlook; knowledge of patient accounting systems a plus
* Good interpersonal skills
* Strong customer service attitude and ability to work independently as well as in a team
* Well organized and attentive to detail
* Good math, analytical and problem-solving skills
* Data entry and 10-key by touch
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* High school diploma or equivalent
* 2-3 years of related experience; payment posting a plus
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to work in sitting position, use computer and answer telephone
* Ability to travel
* Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office Work Environment
* Hospital Work Environment
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
Representative, Support Center
Columbus, OH jobs
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: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center - Nevada and California candidates ONLY
Columbus, OH jobs
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: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center - Bilingual Vietnamese candidates ONLY
Columbus, OH jobs
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: $17.85 - $24.02 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center
Cleveland, OH jobs
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: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center - Nevada and California candidates ONLY
Cincinnati, OH jobs
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: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center
Akron, OH jobs
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: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center - Nevada and California candidates ONLY
Akron, OH jobs
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: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center
Cincinnati, OH jobs
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: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center - Nevada and California candidates ONLY
Dayton, OH jobs
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: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center
Dayton, OH jobs
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: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center - Bilingual Vietnamese candidates ONLY
Cleveland, OH jobs
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: $17.85 - $24.02 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center
Ohio jobs
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: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center - Nevada and California candidates ONLY
Ohio jobs
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: $21.16 - $28.82 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center - Bilingual Vietnamese candidates ONLY
Akron, OH jobs
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: $17.85 - $24.02 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center - Bilingual Vietnamese candidates ONLY
Cincinnati, OH jobs
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: $17.85 - $24.02 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center - Bilingual Vietnamese candidates ONLY
Dayton, OH jobs
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: $17.85 - $24.02 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Representative, Support Center - Bilingual Vietnamese candidates ONLY
Ohio jobs
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: $17.85 - $24.02 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Call Center Specialist
Willoughby, OH jobs
Responsibilities The call center specialist is responsible for coordinating aspects of the admissions process. This includes, but not limited to efficient and effective handling of inquiry calls, processing of referrals for possible admission, knowledge of and communication with referral sources and customers who present for assessment. Additional responsibilities include insurance verification, patient registration process, vitals, wanding, patient observations, scheduling of evaluations, admission processing, bed board monitoring, belonging searches, and other non-clinical duties as assigned by admissions leadership team.
It takes passion and dedication to meet the behavioral health needs of our community. For over 100 years, Windsor Laurelwood Center for Behavioral Medicine, located in Willoughby, Ohio, has provided high-quality behavioral health and substance abuse treatment services to adults, adolescents, and children. We provide both inpatient and outpatient programming to meet your healthcare needs. The team at Windsor Laurelwood is dedicated to helping you regain control of your life.
Windsor Laurelwood is a part of one of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in 2019. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
Education: A Bachelor degree from an accredited college or university in social work, psychology, mental health or a related field preferred or a LPN license.
Experience: A minimum of one year experience in human services, social services, psychiatric, mental health or call center setting, performing administrative duties to include but not limited to crisis intervention, telephone triage and managing inquiry calls with a specialized focus on customer service.
Knowledge: To perform this job successfully, the candidate must have the ability to interface with customers in a calm professional manner. The candidate must possess the knowledge of crisis and behavior management, have excellent organizational skills with the ability to multitask, navigate through our computer systems and faxing and copying. Data entry and computer experience is preferred.
Work Environment: Work indoors, long periods of siting, continuously working near people, but usually a few feet of space separated from patients and co-workers, often exposed to distracting noises.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill-set and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public web-mail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************