Member & Provider Support Specialist II

Molina Healthcare; Hattiesburg (MS); In loco; USD 21.000 - 36.000; Tempo pieno

Descrizione del lavoro

Molina Healthcare in the United States seeks a level II service center representative to deliver customer service excellence for members and providers across Medicaid, Medicare and Marketplace lines. You will resolve issues, document interactions, and support continuous quality improvement while upholding Molina values.

Responsibilities include multi-channel support (phone, chat, email), handling appeals and grievances, data processing, and maintaining HIPAA confidentiality.

Competenze

• 1 year of customer service, call center, or sales experience in a fast-paced environment.
• Proficiency in Microsoft Office and data processing.
• Ability to maintain confidentiality and comply with HIPAA.

Mansioni

• Provide level II support center assistance to Molina members and providers across multiple channels.
• Resolve issues related to appeals, grievances, and member/provider inquiries.
• Document calls and interactions accurately across platforms.
• Support process improvement and ensure first-call resolution where possible.
• Collaborate with internal/external stakeholders and adhere to schedule and overtime as needed.

Conoscenze

Customer service

Data processing

Attention to detail

HIPAA compliance

Communication skills

Strumenti

Microsoft Office Suite

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

Verint

Availity

CVS Caremark

Descrizione del lavoro

Molina Healthcare in the United States seeks a level II service center representative to deliver customer service excellence for members and providers across Medicaid, Medicare and Marketplace lines. You will resolve issues, document interactions, and support continuous quality improvement while upholding Molina values.

Responsibilities include multi-channel support (phone, chat, email), handling appeals and grievances, data processing, and maintaining HIPAA confidentiality.