Healthcare Support Specialist – Member & Provider Care

Molina Healthcare, Inc.; El Paso (TX); Remote; USD 25,000 - 30,000; Full time

Benefits offered by this job

Competitive benefits

Equal opportunity employer

Job summary

Molina Healthcare, Inc. is seeking a customer service professional to provide level II support for members and providers across multiple states.

Responsibilities include handling phone, chat, and email communications, resolving issues, and contributing to continuous quality improvements while upholding Molina values. The role requires precise documentation, adherence to schedules, and collaboration with internal and external stakeholders.

Qualifications

• At least 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment.
• 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 and maintain positive work relationships.
• Effective verbal and written communication skills.
• Proficiency in Microsoft Office suite and applicable software programs.

Responsibilities

• Provides level II support to Molina members and providers across multiple states and products via phone, chat, and email.
• Resolves member/provider issues including appeals and grievances and documents interactions accurately.
• Supports process improvement and retention through issue resolution and stakeholder collaboration.
• Delivers excellent customer service and aims for first call resolution.
• Maintains timely documentation and adheres to schedules, lunches, breaks, and overtime as needed.
• Responds empathetically, builds rapport, and exceeds customer expectations.

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Communication skills

Microsoft Office

Tools

Genesys

Salesforce

Pega

QNXT

CRM software

Verint

Availity

Microsoft Teams

CVS Caremark

Job description

Molina Healthcare, Inc. is seeking a customer service professional to provide level II support for members and providers across multiple states.

Responsibilities include handling phone, chat, and email communications, resolving issues, and contributing to continuous quality improvements while upholding Molina values. The role requires precise documentation, adherence to schedules, and collaboration with internal and external stakeholders.