Top 208 Customer service representative Jobs in Venice Fl

Provider Relations Representative
Molina Healthcare —Sarasota, FL
- $19.84 - $38.69 an hour
- Full-time
- Medical office experience
- Mid-level
- Training & development
- Health insurance
Bilingual Customer Service Representative
Florida One Insurance —Sarasota, FL
- $42,600 - $92,000 a year
- Full-time
- Spanish
- English
- Office
- Health insurance
- Paid time off
Quick Apply
Customer Success Manager - Florida
Alfa AI —Florida
- $95,000 - $110,000 a year
- Full-time
- Remote
- Management
- Public speaking
- Mid-level
2d
Customer Service in Venice!
Waste Pro —Venice, FL
- Computer literacy
- Residential
- Analysis skills
Quick Apply
Office Administrator
Gardenmasters —Venice, FL
- From $20 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
13d
Customer Service Representative I
Englewood Water District —Englewood, FL
- $20.04 an hour
- Writing skills
- Office
- High school diploma or GED
6d
Medical Receptionist/Customer Service Representative
Sunset Lake Surgery Center —Venice, FL
- $17.50 - $20.00 an hour
- Full-time
- HIPAA
- High school diploma or GED
- Organizational skills
- Health savings account
- AD&D insurance
Quick Apply
2d
Dispatcher and Customer Service Representative
HVAC —Venice, FL
- $19 - $23 an hour
- Full-time
- Mid-level
- In-person
- Communication skills
- Paid time off
- Employee discount
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Bethany Bell - State Farm Agent —Venice, FL
- $40,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Customer Service Associate
Wawa, Inc. —Venice, FL
- $15.50 - $19.25 an hour
- Part-time
- Serving
- Reliable transportation
- Communication skills
- Paid parental leave
- Health insurance
Customer Service Representative (CSR)
Good News Pest Solutions —North Venice, FL
- $17 - $18 an hour
- Full-time
- Research
- Office
- Administrative experience
Customer Service Representative
Sergeant's Electric —North Port, FL
- $17 - $22 an hour
- Full-time
- Computer skills
- Communication skills
- Entry level
Quick Apply
PAC- Patient Access Center Representative
US Eye —Venice, FL
- Full-time
- HIPAA
- High school diploma or GED
- Ability to lift 50 pounds
Quick Apply
11h
Customer Relations Representative - State Farm Agent Team Member
Warren Middleton - State Farm Agent —Sarasota, FL
- $50,000 - $70,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- 401(k) matching
Quick Apply
Spanish Bilingual Remote Customer Service Representative
VIMO INC —Sarasota, FL
- $19.00 - $20.50 an hour
- Full-time
- Remote
- Background check
- 18 years or older
- Spanish
- Paid training
- Paid time off
Quick Apply
Customer Service / Scheduler
D&D Garage Doors Inc —Sarasota, FL
- $20 - $25 an hour
- Full-time
- Microsoft Outlook
- Computer literacy
- Office
Quick Apply
2d
Pharmacy Customer Service Associate
Walgreens —Venice, FL
- $16 - $18 an hour
- Part-time
- Computer literacy
- Basic math
- Maintenance
- Continuing education credits
- Health insurance
Customer Care Rep
Onewater Marine Inc —Venice, FL
- $17 an hour
- Full-time
- Spanish
- English
- High school diploma or GED
Customer Service Representative - State Farm Agent Team Member
Nichole Lunn - State Farm Agent —Venice, FL
- Full-time
- Office
- Communication skills
- Marketing
- Health insurance
- 401(k)
Quick Apply
Customer Service Manager
Arctic Air Home Services Inc —Sarasota, FL
- $70,000 - $90,000 a year
- Full-time
- Management
- Pass drug screening
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply

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Provider Relations Representative

Molina Healthcare -
Sarasota, FL

Apply Now

Job Details

Full-time
$19.84 - $38.69 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

***Remote and must live in Charlotte, Lee, or Sarasota for provider visits***

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.
Role requires 60%+ same-day or overnight travel (extent of same-day or overnight travel will depend on the specific health plan service area).

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.

#PJHPO

#LI-AC1

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 - $38.69 / HOURLY

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

customer service representative jobs in venice fl

Provider Relations Representative

Bilingual Customer Service Representative

Customer Success Manager - Florida

Customer Service in Venice!

Office Administrator

Customer Service Representative I

Medical Receptionist/Customer Service Representative

Dispatcher and Customer Service Representative

Customer Service Representative - State Farm Agent Team Member

Customer Service Associate

Customer Service Representative (CSR)

Customer Service Representative

PAC- Patient Access Center Representative

Customer Relations Representative - State Farm Agent Team Member

Spanish Bilingual Remote Customer Service Representative

Customer Service / Scheduler

Pharmacy Customer Service Associate

Customer Care Rep

Customer Service Representative - State Farm Agent Team Member

Customer Service Manager

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