Multichannel Member & Provider Support Specialist II

Molina Healthcare; Cincinnati (OH); On-site; USD 44,127,000 - 75,705,000; Full time

Job summary

Molina Healthcare is seeking a Customer Service professional to provide level II support to Molina members and providers across states via phone, chat, and email. You will document calls, research issues, and strive for first-call resolution while adhering to HIPAA and company standards.

Ideal candidates have 1+ year in a high-volume environment, strong communication, and proficiency in Microsoft Office and CRM tools.

Qualifications

• At least 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment.
• Customer service skills and data processing ability.
• Attention to detail, organizational and time-management skills; HIPAA knowledge.
• Strong verbal and written communication; Microsoft Office proficiency.

Responsibilities

• Provide level II support to Molina members and providers via multiple channels.
• Document calls accurately across platforms and ensure first-call resolution when possible.
• Handle inquiries related to benefits, claims, premiums, provider portal and eligibility.
• Escalate issues following compliance and risk guidelines as needed.
• Collaborate with internal/external stakeholders to improve member/provider experience.

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Microsoft Office

Communication skills

Tools

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Job description

Molina Healthcare is seeking a Customer Service professional to provide level II support to Molina members and providers across states via phone, chat, and email. You will document calls, research issues, and strive for first-call resolution while adhering to HIPAA and company standards.

Ideal candidates have 1+ year in a high-volume environment, strong communication, and proficiency in Microsoft Office and CRM tools.