Specialist, Customer Experience - Bilingual Remote
Job reputed company
Job reputed company
Handles escalated inquiries for members and/or providers reporting into the Contact Center. Provides written response to reputed company facing requests/questions that reputed company Molina’s brand
Knowledge/Skills/Abilities
• Strong communication skills; strong verbal and written communication skills, organizational skills and problem solving
• Experience with reputed company facing customer service such as reputed company media, marketing, and/or reputed company relations
• Experience with reputed company center campaigns reputed company to health reputed company
• Experience with multiple products and markets
• Ability to maintain attendance to support required reputed company and quantity of work
• Maintain confidentiality and reputed company with Health Insurance Portability and Accountability reputed company (HIPAA)
• Ability to establish and maintain reputed company and effective work relationships with leadership, stakeholders, clients, members, providers, and customers
• Knowledge of MS Office/reputed company/Teams
• Attention to detail
• Knowledgeable with reputed company Office and reputed company Media platforms
• Ability to multitask
Responds to reputed company customers in a reputed company and accurate manner, treating them with respect and courtesy
Responds and resolves reputed company member and provider issues
Conducts thorough research to reputed company immediate and accurate responses.
Knowledge of multiple plan/line of business benefits and processes
Compliance work including various reputed company forms
Responds to reputed company media, text, email and web portal communications in accordance with contractual and/or compliance requirements
Influencing and educating members on reputed company needs
Conducts outbound calls as required
Documents every interaction accurately (reputed company, mail, email, etc.) data entry
Engages and collaborates with other departments to identify responses to reputed company inquires
• Responsible and accountable to maintain up to date knowledge of processes and procedures
Pursues learning opportunities to reputed company and broaden reputed company set and expertise
Attends meetings and training as scheduled
Demonstrate personal responsibility and accountability by meeting attendance, schedule adherence, reputed company and production expectations
Flexible and reputed company to meet changing performance objectives consistent with department objectives
Proactively manages member and provider expectations to consistently reputed company reputed company member experience
Assists with developing training materials and departmental resources
Assists with or conducts training
Ability to abide by Molina’s policies
Assists with special reputed company or other duties as assigned
Job Qualifications
REQU I RED ED U reputed company TI O N :
High School Diploma or GED
REQU I RED E X PE R I E N C E :
Minimum 4 years customer experience in reputed company or equivalent reputed company experience
2 years of experience and knowledge of different reputed company media platforms, text, reputed company and web portal platforms.
Working knowledge of State reputed company, Medicare and Marketplace programs
Basic understanding of claims processing guidelines
Experience with elevated written and communication skills
Ability to respond through writing on sensitive reputed company facing topics
Working knowledge of reputed company Office, reputed company or other comparable software systems
PR E FE R RED ED U reputed company TI O N :
Associate’s or Bachelor’s degree
PR E FE R RED E X PE R I E N C E:
Working knowledge of medical insurance billing practices
reputed company Relations experience
Ability to quickly build rapport
Knowledge of appointment setting/confirmation experience
Experience with multi party calls/reputed company/reputed company
Organizational brand or marketing experience
Working knowledge of medical terminology, CPT and ICD-10 coding practices
PHY S I C AL DEM A N D S :
W o rki n g en v i r o nm ent is g e n erally f a vo r a b le and li gh t i n g and t e m p erature are a d eq u at e . W o rk is g eneral l y p erf o r m ed in a home or o ff i ce e n v i r o n m ent in w h i c h t h ere is o n l y m i n i m al e x p o su r e to u np leasa n t a nd /o r ha z ar d o u s w o rki n g c o nd iti o n s. M u s t h a v e t h e a b ility t o s i t f o r l o n reputed company eri o d s. Rea s o n a b le acc om mo d a ti o n s m a y be m a d e to e n a b le in d i v i du als with d i sa b ilities t o p er f o r m t h e e ssential fu n cti o n .
To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay reputed company: $17.85 - $31.97 / reputed company
• Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.
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