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Representative, Support Center at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Customer Service, Call Center Operations, Data Processing, Time Management, Hipaa Compliance, Verbal Communication, Written Communication, Microsoft Office, Conflict Resolution, Member Eligibility, Claims Status Inquiry, Rapport Building
Specialization
Requires up to 1 year of customer service or call center experience in a high-volume environment. Must be proficient in Microsoft Office and capable of maintaining HIPAA confidentiality.
Licensed Practical Nurse at Valor Health Care
Williston, North Dakota, United States - Full Time
Skills Needed
Patient Care, Nursing Assessment, Medication Administration, Ekg Operation, Wound Care, Lab Specimen Collection, Electronic Medical Records, Patient Education, Vista/Cprs, Basic Life Support, Acls, Customer Service
Specialization
Requires a diploma or certificate from an accredited practical or vocational nursing program and a valid, unrestricted LPN/LVN license. Minimum one year of experience in primary or ambulatory care is required, along with BLS and ACLS certifications.
Experience Required
Minimum 2 year(s)
Senior Analyst, Finance (Financial Reporting & SQL) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Financial Analysis, Financial Reporting, Forecasting, Budgeting, Sql, Databricks, Microsoft Excel, Microsoft Powerpoint, Variance Analysis, Financial Modeling, Regulatory Reporting, Critical Thinking, Time Management, Collaboration, Communication Skills, Managed Care Finance
Specialization
Requires a bachelor's degree in finance or a related field and at least 3 years of relevant finance experience. Proficiency in Microsoft Office is required, with SQL or Databricks knowledge and managed care experience preferred.
Experience Required
Minimum 2 year(s)
RN/LPN Full-time Nightshift at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Treatment, Patient Observation, Clinical Documentation
Specialization
Candidates must hold a current unrestricted nursing license in Tennessee. Experience in mental health or chemical dependency treatment is preferred, along with the ability to communicate effectively and compassionately.
Registered Nurse at Valor Health Care
City of Ithaca, New York, United States - Full Time
Skills Needed
Patient Assessment, Triage, Patient Education, Care Coordination, Emr Proficiency, Clinical Outcomes Management, Customer Service, Case Management
Specialization
Candidates must have a BSN or Associate Degree in Nursing and 2-3 years of experience in primary or ambulatory care. Valid state licensure, BLS certification, and ACLS certification are required.
Experience Required
Minimum 2 year(s)
Bilingual Independent Mental Health Therapist, Texas- Remote at Ascend Healthcare
, , - Full Time
Skills Needed
Bilingual English/Spanish, Cognitive Behavioral Therapy (Cbt), Dialectical Behavior Therapy (Dbt), Solution Focused Therapy, Trauma Therapy, Addiction Therapy, Acceptance And Commitment Therapy, Bereavement Counseling, Crisis Intervention, Case Management, Psychosocial Assessment, Telemedicine, Clinical Documentation, Group Therapy, Individual Therapy, Patient Care
Specialization
Must be bilingual in English and Spanish and hold an active, unrestricted mental health license (LPC, LCSW, or LMFT) in the state of residence and Arizona. Requires a patient-first mindset and the ability to work effectively in a remote environment.
Experience Required
Minimum 2 year(s)
Mental Health Licensed Clinical Social Worker at Valor Health Care
Fort Pierce, Florida, United States - Full Time
Skills Needed
Individual Counseling, Group Therapy, Case Management, Marriage And Family Counseling, Patient Assessment, Crisis Intervention, Emr Proficiency, Patient Education, Clinical Documentation, Interdisciplinary Collaboration
Specialization
Requires a Master's degree in Social Work and a valid, unrestricted LCSW/MSW license. Candidates must have 1-3 years of post-master direct counseling experience with adult patients and current BLS/ACLS certifications.
Experience Required
Minimum 2 year(s)
Disability Support Worker - EOI at Unidex Healthcare
South Australia, South Australia, Australia - Full Time
Skills Needed
N/A
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Group Facilitator - Full-time at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Group Therapy, Crisis Intervention, Psychoeducation, Clinical Documentation, Microsoft Office, Kipu Emr, Cpr, First Aid
Specialization
A bachelor's degree in Psychology, Social Work, or Human Services is required. Candidates should have CPR/First Aid certification and preferably experience in addictions and mental health.
Registered Nurse at Valor Health Care
Washington, Pennsylvania, United States - Full Time
Skills Needed
Patient Assessment, Triage, Patient Education, Care Coordination, Emr Proficiency, Clinical Outcomes Management, Customer Service, Case Management, Physical Examinations, Nursing Process
Specialization
Candidates must hold a BSN or Associate Degree in Nursing and possess a valid, unrestricted license. A minimum of 2-3 years of experience in primary or ambulatory care is required, along with BLS and ACLS certifications.
Experience Required
Minimum 2 year(s)
Representative, Support Center (Bilingual English/Spanish) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Bilingual English/Spanish, Customer Service, Call Center Operations, Data Processing, Time Management, Hipaa Compliance, Microsoft Office, Verbal Communication, Written Communication, Conflict Resolution, Member Support, Provider Support
Specialization
Must be bilingual in English and Spanish with up to one year of customer service or call center experience. Requires proficiency in Microsoft Office and the ability to maintain HIPAA confidentiality.
Medical Office Receptionist at Valor Health Care
Fort Pierce, Florida, United States - Full Time
Skills Needed
Administrative Support, Patient Scheduling, Customer Service, Emr Experience, Vista/Cprs, Data Entry, Phone Etiquette, Clinical Compliance, Basic Life Support, Acls
Specialization
Requires a High School Diploma or GED and proficiency in English with strong computer skills. Candidates should have BLS and ACLS certifications and preferably one year of experience in a clinical or call center environment.
Scientist Downstream Process Development at Accord Healthcare
London, London - England, United Kingdom - Full Time
Skills Needed
N/A
Experience Required
Minimum 1 year(s)
Pharmacy Packaging Assistant at Custom Healthcare
ontario, Ontario, Canada - Full Time
Skills Needed
N/A
Experience Required
Minimum 4 year(s)
Customer Service Representative at Ascent Healthcare
London, Leicestershire - England, United Kingdom - Full Time
Skills Needed
N/A
Experience Required
Minimum 3 year(s)
Disability Support Worker at Unidex Healthcare
Syndey, Western Australia, Australia - Full Time
Skills Needed
N/A
Experience Required
Minimum 7 year(s)
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Experience Required
Minimum 2 year(s)
SHO A&E at Medacs Healthcare
London, Leicestershire - England, United Kingdom - Full Time
Skills Needed
N/A
Experience Required
Minimum 4 year(s)
Anaesthetic Practitioner at Medacs Healthcare
London, London - England, United Kingdom - Full Time
Skills Needed
N/A
Representative, Support Center at Molina Healthcare
Long Beach, California, United States -
Full Time

Start Date

Immediate

Expiry Date

06 Oct, 26

Salary

24.02

Posted On

08 Jul, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Customer Service, Call Center Operations, Data Processing, Time Management, HIPAA Compliance, Verbal Communication, Written Communication, Microsoft Office, Conflict Resolution, Member Eligibility, Claims Status Inquiry, Rapport Building

Industry

Hospitals and Health Care

Description
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.   Essential 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, 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.   Required Qualifications • Up to 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment, or equivalent combination of relevant education and experience. • Customer service skills. • Data processing experience. • Attention to detail, organizational and time-management skills, and ability to manage simultaneous tasks to meet business needs. • Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA). • Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers. • Effective verbal and written communication skills.   • Basic proficiency in Microsoft Office suite and applicable software programs.     Preferred Qualifications • Systems training/experience for the following : Microsoft Office, Microsoft Teams, Genesys, Salesforce, Pega, QNXT, CRM, Verint, video conferencing, CVS Caremark, Availity. • Call center experience. • Managed care/health care experience.     To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Responsibilities
Provide level I customer service support to members and providers via phone, chat, and email. Resolve inquiries regarding eligibility, covered benefits, and claims while documenting all interactions accurately.
Representative, Support Center at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Customer Service, Call Center Operations, Data Processing, Time Management, Hipaa Compliance, Verbal Communication, Written Communication, Microsoft Office, Conflict Resolution, Member Eligibility, Claims Status Inquiry, Rapport Building
Specialization
Requires up to 1 year of customer service or call center experience in a high-volume environment. Must be proficient in Microsoft Office and capable of maintaining HIPAA confidentiality.
Licensed Practical Nurse at Valor Health Care
Williston, North Dakota, United States - Full Time
Skills Needed
Patient Care, Nursing Assessment, Medication Administration, Ekg Operation, Wound Care, Lab Specimen Collection, Electronic Medical Records, Patient Education, Vista/Cprs, Basic Life Support, Acls, Customer Service
Specialization
Requires a diploma or certificate from an accredited practical or vocational nursing program and a valid, unrestricted LPN/LVN license. Minimum one year of experience in primary or ambulatory care is required, along with BLS and ACLS certifications.
Experience Required
Minimum 2 year(s)
Senior Analyst, Finance (Financial Reporting & SQL) - REMOTE at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Financial Analysis, Financial Reporting, Forecasting, Budgeting, Sql, Databricks, Microsoft Excel, Microsoft Powerpoint, Variance Analysis, Financial Modeling, Regulatory Reporting, Critical Thinking, Time Management, Collaboration, Communication Skills, Managed Care Finance
Specialization
Requires a bachelor's degree in finance or a related field and at least 3 years of relevant finance experience. Proficiency in Microsoft Office is required, with SQL or Databricks knowledge and managed care experience preferred.
Experience Required
Minimum 2 year(s)
RN/LPN Full-time Nightshift at Evoraa Healthcare
Madison, Tennessee, United States - Full Time
Skills Needed
Medication Administration, Vital Signs Monitoring, Patient Assessment, Client Admissions, Patient Discharge, Hipaa Compliance, Blood Draws, Tb Testing, Psychiatric Care, Chemical Dependency Treatment, Patient Observation, Clinical Documentation
Specialization
Candidates must hold a current unrestricted nursing license in Tennessee. Experience in mental health or chemical dependency treatment is preferred, along with the ability to communicate effectively and compassionately.
Registered Nurse at Valor Health Care
City of Ithaca, New York, United States - Full Time
Skills Needed
Patient Assessment, Triage, Patient Education, Care Coordination, Emr Proficiency, Clinical Outcomes Management, Customer Service, Case Management
Specialization
Candidates must have a BSN or Associate Degree in Nursing and 2-3 years of experience in primary or ambulatory care. Valid state licensure, BLS certification, and ACLS certification are required.
Experience Required
Minimum 2 year(s)
Bilingual Independent Mental Health Therapist, Texas- Remote at Ascend Healthcare
, , - Full Time
Skills Needed
Bilingual English/Spanish, Cognitive Behavioral Therapy (Cbt), Dialectical Behavior Therapy (Dbt), Solution Focused Therapy, Trauma Therapy, Addiction Therapy, Acceptance And Commitment Therapy, Bereavement Counseling, Crisis Intervention, Case Management, Psychosocial Assessment, Telemedicine, Clinical Documentation, Group Therapy, Individual Therapy, Patient Care
Specialization
Must be bilingual in English and Spanish and hold an active, unrestricted mental health license (LPC, LCSW, or LMFT) in the state of residence and Arizona. Requires a patient-first mindset and the ability to work effectively in a remote environment.
Experience Required
Minimum 2 year(s)
Mental Health Licensed Clinical Social Worker at Valor Health Care
Fort Pierce, Florida, United States - Full Time
Skills Needed
Individual Counseling, Group Therapy, Case Management, Marriage And Family Counseling, Patient Assessment, Crisis Intervention, Emr Proficiency, Patient Education, Clinical Documentation, Interdisciplinary Collaboration
Specialization
Requires a Master's degree in Social Work and a valid, unrestricted LCSW/MSW license. Candidates must have 1-3 years of post-master direct counseling experience with adult patients and current BLS/ACLS certifications.
Experience Required
Minimum 2 year(s)
Disability Support Worker - EOI at Unidex Healthcare
South Australia, South Australia, Australia - Full Time
Skills Needed
N/A
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Group Facilitator - Full-time at Evoraa Healthcare
Brentwood, Tennessee, United States - Full Time
Skills Needed
Group Therapy, Crisis Intervention, Psychoeducation, Clinical Documentation, Microsoft Office, Kipu Emr, Cpr, First Aid
Specialization
A bachelor's degree in Psychology, Social Work, or Human Services is required. Candidates should have CPR/First Aid certification and preferably experience in addictions and mental health.
Registered Nurse at Valor Health Care
Washington, Pennsylvania, United States - Full Time
Skills Needed
Patient Assessment, Triage, Patient Education, Care Coordination, Emr Proficiency, Clinical Outcomes Management, Customer Service, Case Management, Physical Examinations, Nursing Process
Specialization
Candidates must hold a BSN or Associate Degree in Nursing and possess a valid, unrestricted license. A minimum of 2-3 years of experience in primary or ambulatory care is required, along with BLS and ACLS certifications.
Experience Required
Minimum 2 year(s)
Representative, Support Center (Bilingual English/Spanish) at Molina Healthcare
Long Beach, California, United States - Full Time
Skills Needed
Bilingual English/Spanish, Customer Service, Call Center Operations, Data Processing, Time Management, Hipaa Compliance, Microsoft Office, Verbal Communication, Written Communication, Conflict Resolution, Member Support, Provider Support
Specialization
Must be bilingual in English and Spanish with up to one year of customer service or call center experience. Requires proficiency in Microsoft Office and the ability to maintain HIPAA confidentiality.
Medical Office Receptionist at Valor Health Care
Fort Pierce, Florida, United States - Full Time
Skills Needed
Administrative Support, Patient Scheduling, Customer Service, Emr Experience, Vista/Cprs, Data Entry, Phone Etiquette, Clinical Compliance, Basic Life Support, Acls
Specialization
Requires a High School Diploma or GED and proficiency in English with strong computer skills. Candidates should have BLS and ACLS certifications and preferably one year of experience in a clinical or call center environment.
Scientist Downstream Process Development at Accord Healthcare
London, London - England, United Kingdom - Full Time
Skills Needed
N/A
Experience Required
Minimum 1 year(s)
Pharmacy Packaging Assistant at Custom Healthcare
ontario, Ontario, Canada - Full Time
Skills Needed
N/A
Experience Required
Minimum 4 year(s)
Customer Service Representative at Ascent Healthcare
London, Leicestershire - England, United Kingdom - Full Time
Skills Needed
N/A
Experience Required
Minimum 3 year(s)
Disability Support Worker at Unidex Healthcare
Syndey, Western Australia, Australia - Full Time
Skills Needed
N/A
Experience Required
Minimum 7 year(s)
Disability Support Worker at Unidex Healthcare
Australia, Alberta, Australia - Full Time
Skills Needed
N/A
Experience Required
Minimum 2 year(s)
SHO A&E at Medacs Healthcare
London, Leicestershire - England, United Kingdom - Full Time
Skills Needed
N/A
Experience Required
Minimum 4 year(s)
Anaesthetic Practitioner at Medacs Healthcare
London, London - England, United Kingdom - Full Time
Skills Needed
N/A