Healthcare Member & Provider Support Specialist II

Molina Healthcare; Arizona; Remote; USD 35.000 - 52.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking a Customer Service professional to provide level II support to Molina members and providers across multiple states. The role emphasizes strong communication, issue resolution, and collaboration with internal and external stakeholders.

Responsibilities include handling inquiries via phone, chat, and email, documenting calls, and supporting process improvements to enhance member/provider engagement and retention.

Qualifikationen

• At least 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment or equivalent education/experience.
• Customer service skills.
• Data processing experience.
• Attention to detail, organizational and time-management skills.
• Ability to maintain confidentiality and comply with HIPAA.
• Ability to establish positive work relationships with coworkers, members, providers and customers.
• Effective verbal and written communication skills.
• Proficiency in Microsoft Office suite and applicable software programs.

Aufgaben

• Provide level II support center customer service across channels (phone, chat, email).
• Support member and provider issues including appeals/grievances and materials development.
• Assist with process improvement and member/provider retention.
• Deliver high-quality customer service and strive for first call resolution.
• Document all calls across multiple platforms accurately.
• Work scheduled shifts within Molina hours and accommodate overtime/weekends as needed.
• Build rapport empathetically and respond to customer needs.

Kenntnisse

Customer service

Data processing

Attention to detail

Time management

Verbal communication

Written communication

HIPAA compliance

Tools

Microsoft Office

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM systems

Verint

Jobbeschreibung

Molina Healthcare is seeking a Customer Service professional to provide level II support to Molina members and providers across multiple states. The role emphasizes strong communication, issue resolution, and collaboration with internal and external stakeholders.

Responsibilities include handling inquiries via phone, chat, and email, documenting calls, and supporting process improvements to enhance member/provider engagement and retention.