Top 593 Customer relations representative Jobs in Remote

Representative, Health Plan Provider Relations - Remote Must reside in NY
Molina Healthcare —New York, NY
- $19.84 - $46.42 an hour
- Full-time
- Remote
- Medical office experience
- Mid-level
- Travel
- Health insurance
Service Operations Representative
RoadRunner Recycling Inc. —Remote
- $21.00 - $24.04 an hour
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Customer Service Representative
Contact Government Services, LLC —Remote
- $15 - $16 an hour
- Full-time
- Remote
- Spanish
- English
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Director, Network Products
Virtuoso, Ltd. —Remote
- $150,000 - $180,000 a year
- Full-time
- Remote
- 3 years
- Bachelor's degree
- Product management
- Health insurance
- Dental insurance
Licensed Insurance Sales Representative
Cleveland Agency Group —Houston, TX
- $80,000 - $150,000 a year
- Full-time
- Remote
- Mid-level
- Communication skills
- Time management
Quick Apply
1d
Southwest District Sales Manager, Pest Management Division
Liphatech —Colorado
- $80,000 - $115,000 a year
- Full-time
- Remote
- Background check
- Clean driving record
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Licensed Insurance Sales Representative
Cleveland Agency Group —Nashville, TN
- $80,000 - $150,000 a year
- Full-time
- Remote
- Mid-level
- Communication skills
- Time management
Quick Apply
1d
Director of Commercial Analytics
Pace Analytical Services —North Carolina
- Full-time
- Remote
- English
- Office
- Finance
- Wellness program
- Health savings account
Member Services Representative
Versant Health —Remote
- $19 - $21 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
Customer Service Support Operator
viva —Remote
- $17 - $22 an hour
- Weekends as needed
- Remote
- Microsoft Outlook
- Word processing
- Mid-level
- On-the-job training
9d
Customer Relations Representative
Cardiff —Remote
- Full-time
- Remote
- Mid-level
- Communication skills
- Commercial
- Paid holidays
- Health insurance
Quick Apply
12d
Sales Development Representative -- Remote Position
LegiStorm —Remote
- $55,000 - $70,000 a year
- Full-time
- Remote
- Mid-level
- US work authorization
- 1 year
- Paid holidays
- Health insurance
Quick Apply
Consultant Relations Sales Development Representative
Journey —Remote
- $65,000 - $95,000 a year
- Full-time
- Remote
- Mid-level
- 2 years
- Communication skills
- Paid parental leave
- Health insurance
Quick Apply
Customer Relations Representative - State Farm Agent Team Member
Jeff Bohms - State Farm Agent —Middleville, MI
- $40,000 - $70,000 a year
- Full-time
- Remote
- Communication skills
- Marketing
- Entry level
- Health insurance
- Dental insurance
Quick Apply
7d
Provider Relations Representative I
Cotiviti —Remote
- $17.50 - $19.50 an hour
- Full-time
- Microsoft Word
- Mid-level
- High school diploma or GED
- Paid holidays
- Disability insurance
Customer Guide Engagement Specialist
Guidehealth —Dallas, TX
- $20 - $22 an hour
- Full-time
- Remote
- HIPAA
- English
- Research
- Paid parental leave
- Disability insurance
Customer Experience Representative
DR KILLIGANS INC —Redding, CA
- $16.90 - $20.00 an hour
- Part-time
- Remote
- Travel
- Communication skills
- Entry level
- Paid holidays
- Paid sick time
Accounts Receivable Specialist
Flock Safety —Remote
- $65,000 - $75,000 a year
- Email
- Remote
- Mid-level
- Analysis skills
- Continuous improvement
- Paid parental leave
- Health savings account
7d
Community Relations Representative-Atlanta,GA
Smooth Mooove Senior Relocation Services, Inc. —Remote
- From $55,000 a year
- Part-time
- Business development
- Driver's License
- Reliable transportation
- Opportunities for advancement
Quick Apply
Corporate Travel Consultant
TravelStore —Remote
- $26 - $30 an hour
- Full-time
- Microsoft Outlook
- Computer literacy
- No experience needed
- Paid training
- Health insurance
Quick Apply
2d

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customer relations representative jobs near remote

Representative, Health Plan Provider Relations - Remote Must reside in NY

Molina Healthcare -
New York, NY

Apply Now

Job Details

Full-time
$19.84 - $46.42 an hour

Benefits

Health insurance

Qualifications

Customer communication
Managed care
Managed care organization experience
Medical office experience
Schedule management
Health insurance knowledge
Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

JOB DESCRIPTION Job Summary

Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures.

Essential Job Duties

Successfully engages high-volume, high-visibility plan providers, to ensure provider satisfaction, facilitate education on key Molina initiatives, and improve coordination and partnership between the health plan and contracted providers.
Serves as the primary point of contact between Molina health plan and the non-complex provider community that services Molina members, including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers.
Collaborates directly with the plan’s external providers to educate, advocate and engage as valuable partners - ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service; effectively drives timely issue resolution, electronic medical record (EMR) connectivity, and provider portal adoption.
Conducts regular provider site visits within assigned region/service area; determines daily or weekly schedule, to meet or exceed the plan's monthly site visit goals. Proactively engages with the provider and staff to determine; for example, non-compliance with Molina policies/procedures or Centers for Medicare and Medicaid Services (CMS) guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members.
Provides on-the-spot training and education as needed, including counseling providers diplomatically, while retaining a positive working relationship.
Independently troubleshoots provider problems as they arise, and takes initiative in preventing and resolving issues between the provider and the plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters.
Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians (examples include: issues related to utilization management, pharmacy, quality of care, and correct coding).
Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.).
May provide training and support to new and existing provider relations team members as appropriate.

will require to travel at least once a week subject to change.

Required Qualifications

At least 2 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.
General understanding of the health care delivery system, including government-sponsored health plans.
Organizational skills and attention to detail.
Ability to manage multiple tasks and deadlines effectively.
Interpersonal skills, including ability to interface with providers and medical office staff.
Ability to work in a cross-functional highly matrixed organization.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

Familiarity with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
Experience delivering training and facilitating educational presentations.

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

Pay Range: $19.84 - $46.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

customer relations representative jobs in remote

Representative, Health Plan Provider Relations - Remote Must reside in NY

Service Operations Representative

Customer Service Representative

Director, Network Products

Licensed Insurance Sales Representative

Southwest District Sales Manager, Pest Management Division

Licensed Insurance Sales Representative

Director of Commercial Analytics

Member Services Representative

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Customer Relations Representative

Sales Development Representative -- Remote Position

Consultant Relations Sales Development Representative

Customer Relations Representative - State Farm Agent Team Member

Provider Relations Representative I

Customer Guide Engagement Specialist

Customer Experience Representative

Accounts Receivable Specialist

Community Relations Representative-Atlanta,GA

Corporate Travel Consultant

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