Member & Provider Support Specialist II

Molina Healthcare; United States; À distance; USD 36 000 - 48 000; Plein temps

Résumé du poste

Molina Healthcare is seeking a customer service professional to provide level II support for members and providers across Medicaid, Medicare, and Marketplace lines. You will handle inquiries via phone, chat, and email, document interactions, and escalate as needed.

You will contribute to improving member engagement and retention while working within Molina values and guidelines, with standard hours Mon–Fri 7am–7pm CST.

Qualifications

• 1 year of customer service/call center experience in a fast-paced environment.
• Ability to maintain confidentiality and comply with HIPAA.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office and applicable software programs.

Responsabilités

• Provide level II support across channels (phone, chat, email) for Molina members/providers across multiple states/products.
• Document calls accurately across platforms and adhere to escalation protocols.
• Achieve first contact resolution and maintain high quality service.
• Assist with benefits, claims, eligibility and provider portal inquiries with research.
• Collaborate with internal/external stakeholders to improve member/provider experience.

Connaissances

Customer service

Data processing

HIPAA compliance

Verbal and written communication

Microsoft Office

Outils

Microsoft Office Suite

CRM/CS tooling

Genesys

Salesforce

Description du poste

Molina Healthcare is seeking a customer service professional to provide level II support for members and providers across Medicaid, Medicare, and Marketplace lines. You will handle inquiries via phone, chat, and email, document interactions, and escalate as needed.

You will contribute to improving member engagement and retention while working within Molina values and guidelines, with standard hours Mon–Fri 7am–7pm CST.