Member & Provider Care Specialist

Molina Healthcare, Inc.; Glendale (AZ); À distance; USD 25 000 - 30 000; Plein temps

Résumé du poste

Molina Healthcare is seeking a dedicated Support Center Associate to assist members and providers. You will handle inquiries across Medicaid, Medicare, and Marketplace lines, with emphasis on timely problem resolution and accurate documentation.

The role requires strong customer service skills, multi-channel communication, and compliance with HIPAA. Weekend coverage and overtime may be required as part of Molina hours of operation.

Qualifications

• At least 1 year of customer service or call center experience.
• Strong communication and data processing skills.
• Ability to maintain confidentiality per HIPAA.
• Proficiency in Microsoft Office.
• Ability to work with multiple channels (Teams, email).

Responsabilités

• Provides service support to members and/or providers using multiple channels (phone, chat, email) across states and products.
• Resolves member/provider issues including appeals and grievances and documents interactions.
• Supports process improvement and retention efforts for members and providers.
• Delivers excellent customer service with first call resolution and timely follow-up.
• Maintains accurate records across systems and adheres to schedules and breaks.

Connaissances

Customer service

Call center experience

Multitasking

Attention to detail

Verbal communication

Outils

Microsoft Office

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Description du poste

Molina Healthcare is seeking a dedicated Support Center Associate to assist members and providers. You will handle inquiries across Medicaid, Medicare, and Marketplace lines, with emphasis on timely problem resolution and accurate documentation.

The role requires strong customer service skills, multi-channel communication, and compliance with HIPAA. Weekend coverage and overtime may be required as part of Molina hours of operation.