CSR Medication Therapy Management Services Bilingual Mandarin or Spanish (Remote)

About the role

Molina Healthcare is hiring for a CSR role within their Medication Therapy Management department. The role is Monday through Friday, 10am to 6:30pm Mountain Standard Time.

Responsibilities

• Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and CMS standards are met.
• Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence.
• Enforces HIPAA compliance standards and regulations.
• Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated.
• Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required.
• Utilizes appropriate resources to ensure member contact information is current and up-to-date.
• Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members.
• Interacts with appropriate primary care providers to ensure member registry is current and accurate.
• Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation.
• Proactively identifies ways to improve member relations.
• Supports goal to achieve and maintain industry-leading Medicare STAR ratings.

Requirements

• At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience.
• Excellent customer service skills.
• Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc.
• Ability to multi-task applications while speaking with members.
• Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors.
• Ability to meet established deadlines.
• Ability to function independently and manage multiple projects.
• Excellent verbal and written communication skills, including excellent phone etiquette.
• Microsoft Office suite, and applicable software program(s) proficiency.

Qualifications

• High school diploma or equivalent.

Skills

• Exceptional customer service skills.
• Great skills navigating Windows based software.
• Excellent typing skills.
• Able to multitask, ie notate the system while navigating through systems.

Benefits

Not specified.

Pay

$11.09 - $24.02 / HOURLY

Schedule

Monday through Friday, 10am to 6:30pm Mountain Standard Time.