Representative, Center - Remote
Remote / Online - Candidates ideally in
Buffalo, Erie County, New York, 14266, USA
Listed on 2026-11-05
Buffalo, Erie County, New York, 14266, USA
Listing for:
Molina Healthcare
Remote/Work from Home
position Listed on 2026-11-05
Job specializations:
-
Customer Service/HelpDesk
Customer Service Rep, Bilingual, Spanish Customer Service, Call Center / Support
Job Description & How to Apply Below
JOB DESCRIPTION
Job Summary
Provides level I support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values. Provides product and service information, and identifies opportunities to improve the member and provider experience.
- Provides service support to members and/or providers using one or more support center communication channels serving multiple states and/or products including but not limited to: phone, chat and email, in addition to other administrative off phone duties supporting Medicaid, Medicare and/or Marketplace lines of business.
- Conducts various surveys related to health assessments and member/provider satisfaction.
- Accurately documents pertinent details related to member or provider inquiries.
- Works regularly scheduled shifts within Molina hours of operation, follows protocol related to scheduled lunches and breaks, and accommodates overtime and/or weekends as needed.
- Demonstrates ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.
- Listens attentively, captures relevant information, and identifies member or provider inquiries and concerns.
- Meets or exceeds individual performance goals established for the position in the areas of: call quality, attendance, adherence and other support center objectives.
- Proactively engages and collaborates with various internal/external stakeholders.
- Demonstrates personal responsibility and accountability by taking ownership of real-time solutioning and timely member and/or provider follow-up.
- Supports provider needs related to inquiries and assistance involving member eligibility and covered benefits, provider portal, and status of submitted claims.
Job Summary
Provides level I support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values. Provides product and service information, and identifies opportunities to improve the member and provider experience.
- Provides service support to members and/or providers using one or more support center communication channels serving multiple states and/or products including but not limited to: phone, chat and email, in addition to other administrative off phone duties supporting Medicaid, Medicare and/or Marketplace lines of business.
- Conducts various surveys related to health assessments and member/provider satisfaction.
- Accurately documents pertinent details related to member or provider inquiries.
- Works regularly scheduled shifts within Molina hours of operation, follows protocol related to scheduled lunches and breaks, and accommodates overtime and/or weekends as needed.
- Demonstrates ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.
- Listens attentively, captures relevant information, and identifies member or provider inquiries and concerns.
- Meets or exceeds individual performance goals established for the position in the areas of: call quality, attendance, adherence and other support center objectives.
- Proactively engages and collaborates with various internal/external stakeholders.
- Demonstrates personal responsibility and accountability by taking ownership of real-time solutioning and timely member and/or provider follow-up.
- Supports provider needs related to inquiries and assistance involving member eligibility and covered benefits, provider portal, and status of submitted claims.
Job Duties
- Provides service support to members and/or providers using one or more support center communication channels serving multiple states and/or products including but not limited to: phone, chat and email, in addition to other administrative off phone duties supporting Medicaid, Medicare and/or Marketplace lines of business.
- Conducts various surveys related to health assessments and member/provider satisfaction.
- Accurately documents pertinent details related to member or provider inquiries.
- Works regularly scheduled shifts within Molina hours of operation, follows protocol related to scheduled lunches and breaks, and accommodates overtime and/or weekends as needed.
- Demonstrates ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.
- Listens attentively,…
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