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Rep, Customer Experience

  • Job
    Full-time
    Junior & Mid Level
  • Customer Relations
    Sales & Business Development
  • Bothell
    Remote

AI generated summary

  • You need a HS diploma or equivalent, 1-3 years in sales/customer service, and familiarity with Microsoft Office, Salesforce, and other specified systems.
  • You will assist members and providers via phone, chat, and email, document inquiries, conduct surveys, meet performance goals, and collaborate with departments to resolve issues efficiently.

Requirements

  • HS Diploma or equivalent combination of education and experience
  • 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment
  • 1-3 years
  • Preferred Systems Training:
  • Microsoft Office
  • Genesys
  • Salesforce
  • Pega
  • QNXT
  • CRM
  • Verint
  • Kronos
  • Microsoft Teams
  • Video Conferencing
  • CVS Caremark
  • Availity

Responsibilities

  • 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.

FAQs

What is the primary role of a Rep, Customer Experience at Molina Healthcare?

The primary role is to provide customer support and stellar service to meet the needs of Molina members and providers, resolving issues and addressing inquiries effectively while demonstrating Molina values.

What communication channels will I be using to provide service support?

You will be using multiple contact center communication channels, including phone, chat, email, and off-phone work.

What types of customers will I be assisting in this position?

You will assist both members and providers within Medicaid, Medicare, and Marketplace services.

What are the required qualifications for this position?

A high school diploma or equivalent combination of education and experience is required, along with 1-3 years of sales and/or customer service experience in a fast-paced, high-volume environment.

Is there a preferred education level for candidates?

Yes, an Associate’s Degree or an equivalent combination of education and experience is preferred.

What tools or systems should I be familiar with for this job?

Preferred familiarity includes Microsoft Office, Genesys, Salesforce, Pega, QNXT, various CRM systems, Verint, Kronos, Microsoft Teams, Video Conferencing, CVS Caremark, and Availity.

What key performance areas will I be evaluated on?

You will be evaluated on Call Quality, Attendance, Adherence, and other Contact Center objectives.

Is there potential for overtime or weekend work required in this position?

Yes, the role requires the ability to work regularly scheduled shifts, including potential overtime and weekends, as needed.

What is the pay range for this position?

The pay range is $21.16 - $28.82 per hour, with actual compensation varying based on geographic location, work experience, education, and skill level.

Is Molina Healthcare an equal opportunity employer?

Yes, Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.