See all roles

Rep, Customer Experience - Outbound -Remote CST Shift (Bilingual Spanish required)

Work from home Full-time role Hiring

JOB DESCRIPTION Start Date: 2/17/2025 • Training: 4 weeks (Hours: Monday - Friday 8:00am - 4:30pm CST). No time off allowed during training. • Shift - 10:30am - 7:00pm CST • Bilingual - Spanish: Required 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. 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. Apply Job!

You might like

HR Business Partner - Director (remote) at Cognizant in Teaneck, NJ

Work from home Full-time role

Administrative Assistant Senior Representative - Cigna Healthcare - Hybrid Glendale, CA

Work from home Full-time role

Workers' Compensation Claims Adjuster - AL, LA, MS & Multi States

Work from home Full-time role

Programmer and Data Analyst - Remote or Hybrid or In Person

Work from home Full-time role

Remote - Licensed Practical Nurse - NLC - LPN - LVN

Work from home Full-time role

Sr. Machine Learning Engineer - Level 3 - Remote EST shift

Work from home Full-time role

Onsite Medicaid Eligibility Representative – The Revenue Group – Columbus, OH

Work from home Full-time role

Remote CPA-Staff Accountant (2+ years experience at CPA Firm) - WFH

Work from home Full-time role

Supervisor Utilization Management (RN) - Remote at BlueCross BlueShield of Tennessee

Work from home Full-time role

Claims Adjuster II - Commercial Auto and General Liability Remote Opportunity

Work from home Full-time role

Customer Service Assistant (Transaction Support) - Work From Home (Henderson, NV)

Work from home Full-time role

Experienced Remote Data Entry Clerk – Part-Time Admin Assistant Opportunity at arenaflex

Work from home Full-time role

Senior Director, Client Engagement

Work from home Full-time role

Experienced Data Entry Specialist for Remote Work Opportunities in the USA with Competitive Hourly Rate

Work from home Full-time role

Call Center Representative

Work from home Full-time role

Remote- HEDIS Data Entry Specialist at TEKsystems

Work from home Full-time role

Project Manager

Work from home Full-time role

Part-Time Accounts Payable Associate

Work from home Full-time role

Join Today: Remote Customer Service and Sales New York, NY

Work from home Full-time role

Senior Consultant, AVP

Work from home Full-time role