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Rep, Customer Service 2

Molina Healthcare Albuquerque, New Mexico Job ID 2003893
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Job Description


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.

Knowledge/Skills/Abilities
• Supports members or providers on issues of varying complexity
• Provides excellent customer service
• Accurately documents all calls and interactions through alternate channels.
• Achieves individual performance goals as it relates to call center objectives.
• Engages and collaborates with other departments.
• Demonstrates personal responsibility and accountability by meeting attendance and schedule adherence expectations
• May assist with training needs of other employees

# Member Skills: Support member needs for a wide variety of inquiries and assistance involving their benefits, claims, premiums, and other issues. Conducts initial research and works to immediate resolve issues. Appropriately escalates issues based on established risk criteria.

#Provider Skills: Support provider needs for a wide variety of inquiries and assistance involving claims, authorizations, appeals, contracting, credentialing and other issues. Conducts initial research and works to immediate resolve issues. Appropriately escalates issues based on established risk criteria.

Qualifications

Job Qualifications



Required Education
Associate's Degree or equivalent combination of education and experience
Required Experience
1-3 years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
3-5 years
Preferred Experience
Bi-lingual Dine speaking

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.

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  • Contact Center, Albuquerque, New Mexico, United StatesRemove