Member & Provider Support Specialist II

Molina Healthcare; United States; A distancia; USD 22.000 - 36.000; Jornada completa

Descripción de la vacante

Molina Healthcare is seeking a Customer Service Associate to support members and providers across Medicaid, Medicare and Marketplace lines. You will handle inquiries via phone, chat and email, document interactions, and work toward first-call resolution.

Responsibilities include issue resolution, collaboration with internal teams, and adherence to HIPAA and confidentiality standards while meeting performance goals in a fast-paced environment.

Formación

• At least 1 year of customer service experience in a fast-paced environment.
• Data processing experience.
• Ability to maintain confidentiality and comply with HIPAA.
• Proficiency in Microsoft Office suite.

Responsabilidades

• Provide level II support to Molina members and providers across multiple channels (phone, chat, email).
• Resolve issues and document calls across platforms.
• Strive for first-call resolution and high customer satisfaction.
• Escalate issues per protocols and coordinate with internal stakeholders.

Conocimientos

Customer service

Data processing

HIPAA compliance

Microsoft Office

Communication skills

Herramientas

Genesys

Salesforce

Pega

QNXT

CRM software

Verint

Availity

CVS Caremark

Microsoft Teams

Descripción del empleo

Molina Healthcare is seeking a Customer Service Associate to support members and providers across Medicaid, Medicare and Marketplace lines. You will handle inquiries via phone, chat and email, document interactions, and work toward first-call resolution.

Responsibilities include issue resolution, collaboration with internal teams, and adherence to HIPAA and confidentiality standards while meeting performance goals in a fast-paced environment.