Job Description

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Customer Service Representative, Medicaid Let's do great things, together! Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Overview: Are you a dynamic communicator who thrives in a fast paced environment? Join our team as a Customer Services Representative and be a part of an exciting journey in delivering exceptional customer service experiences. This position is full-time and requires open availability 7:30am-5:30pm, Monday - Friday. Position starts May 06, 2024.

Please fill out an application on our company page, linked below, to be considered for this position:

Benefits :

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Schedule :

• 7:30am-5:30 pm 5 days a week

Primary Functions:

• Handle a high volume of incoming calls with professionalism and empathy.
• Provide accurate and timely information to customers on Medicaid medical and pharmacy products, addressing their inquiries and concerns efficiently.
• Conduct thorough research to ensure accurate responses to complex customer queries.
• Work in a fast-paced environment, adapting to changing customer needs and maintaining a positive attitude all while keeping confidentiality of information for all members by adhering to Moda privacy policies and HIPAA laws and guidelines.
• Exercising good judgment, initiative, and discretion in confidential and sensitive matter.
• Collaborate with a team of dedicated professionals and follow the guidance of experienced leadership.
• Provide accurate information in a professional manner using current technology and software to document calls from members, providers and other customers in a clear and concise manner.
• Opportunities for professional growth and career advancement.
• Comprehensive training program to equip you with the skills needed for success.
• Supportive and collaborative team environment.

Basic Qualifications:

• Required Work Experience
  • One year medical insurance, or other healthcare related field.
  • One year call center or customer service

• Education:
  • High School Diploma or equivalent
  • Proficient computer skills (typing, 10-key, Microsoft Office)

• Preferred Qualifications:
  • Previous Medical Insurance experience
  • Medical terminology knowledge
  • Previous Government Programs experience or knowledge (Medicaid/Medicare)

If you're ready to make a difference that matters, we want to hear from you. Because it's time to discover what's possible. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. For more information regarding accommodations please direct your questions to HRAdmin@modahealth.com.

Job Tags

Full time, Work experience placement, Work at office, Monday to Friday

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