Let\xe2\x80\x99s do great things, together Founded in Oregon in 1955, ODS, now Moda, is proud to be a company of real people committed to quality. Today, like then, we\xe2\x80\x99re 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.
Provider accurate and quality audits through all Customer Service channels (online chat, Inbound/Outbound phone calls, internal/external emails and post contact surveys) for all lines of business within Moda Customer Service: Medical, Dental, Pharmacy, Benefit Help Solutions and Technical Support (specialty areas: EOCCO/OHP, Individual Membership OR/WA/AK, NCQA, Performance Guarantee Groups, Specialized, Medical Intake, Technical Support, COBRA, FSA and PERS). Monitor customer contacts by selecting call recordings, voicemails, and emails, online chat transcriptions for services provided by Customer Service Agents, Technical Support Specialists, 3rd Party Vendors, Department Leads and trainees. Ensure compliance with State (EOCCO/OHP), Federal (CMS) and internal policies are met. Provide objective feedback to maintain quality assurance on all methods of contact for all lines of business and to provide ongoing training.
This is a Remote PST position. We are only offering this position to candidates living in or willing to relocate to AK, AZ, ID, OR, TX, or WA. Please follow the link below to apply to this position:
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