Molina Healthcare

Customer Service Representative, Medicare Pharmacy

Molina Healthcare

Remote
Full-TimeDepends on ExperienceEntry LevelHigh school or equivalent
Job Description

Are you passionate about providing exceptional customer service to those in need? Do you have a strong understanding of Medicare pharmacy benefits? If so, we have an exciting opportunity for you! Molina Healthcare is seeking a dedicated Customer Service Representative for our Medicare Pharmacy division. In this role, you will have the opportunity to assist our valued members with their pharmacy-related inquiries and concerns. We are looking for a highly motivated individual with excellent communication skills and a customer-centric approach. If you are ready to make a positive impact on the lives of our members, we encourage you to apply for this rewarding position.

  1. Serve as the primary point of contact for Molina Healthcare's Medicare Pharmacy division, providing exceptional customer service to members.
  2. Utilize a comprehensive understanding of Medicare pharmacy benefits to accurately and effectively address member inquiries and concerns.
  3. Maintain a positive and customer-centric attitude while handling a high volume of calls and inquiries.
  4. Build and maintain strong relationships with members by actively listening, empathizing, and providing timely and accurate responses.
  5. Collaborate with internal teams, such as pharmacy and claims, to resolve member issues and ensure a seamless experience.
  6. Utilize various computer systems and resources to accurately document member interactions and update member profiles.
  7. Educate members on their pharmacy benefits, including coverage, formulary, and medication refill options.
  8. Adhere to all compliance and regulatory guidelines while handling member information and inquiries.
  9. Continuously seek opportunities to improve the member experience and provide feedback to management on process improvements.
  10. Maintain a high level of knowledge regarding Molina Healthcare's products, services, and processes to effectively assist members.
  11. Meet or exceed performance metrics, including call quality, average handle time, and customer satisfaction.
  12. Act as a brand ambassador for Molina Healthcare, promoting the company's mission and values in all interactions with members.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Excellent Communication Skills: A Customer Service Representative For Medicare Pharmacy At Molina Healthcare Should Possess Exceptional Verbal And Written Communication Skills To Effectively Interact With Customers And Address Their Needs.

  • Knowledge Of Medicare And Pharmacy Regulations: Candidates Should Have A Thorough Understanding Of Medicare And Pharmacy Regulations To Provide Accurate Information To Customers And Ensure Compliance With Company Policies.

  • Strong Problem-Solving Skills: As A Customer Service Representative, One Should Be Able To Identify And Resolve Customer Issues Efficiently, Demonstrating Strong Problem-Solving Skills.

  • Attention To Detail: The Role Requires Attention To Detail To Ensure Accurate Processing Of Customer Prescriptions And Insurance Claims.

  • Multitasking And Time Management Abilities: The Job Demands Multitasking And Time Management Abilities To Handle A High Volume Of Customer Inquiries And Ensure Timely Resolution Of Issues.

Required Skills
  • Communication Skills

  • Time Management

  • Multitasking

  • Attention to detail

  • Organizational Skills

  • Conflict Resolution

  • Active listening

  • Empathy

  • Patience

  • Problem-Solving

  • Medicare Knowledge

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Teamwork

  • Active Listening

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Customer Service Representative, Medicare Pharmacy is between $35,000 and $50,000 per year. However, this can vary based on factors such as location, experience, and the specific company or organization the individual is working for. Some may also receive additional benefits such as healthcare, retirement plans, and bonuses.

Additional Information
Molina Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedFebruary 4th, 2025
Apply BeforeJune 21st, 2025
This job posting is from a verified source. 
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About Molina Healthcare

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.

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