Ohio Healthcare Call Center - Member & Provider Support

Molina Healthcare, Inc.; Arizona; Remote; USD 32,000 - 42,000; Full time

Job summary

Molina Healthcare, Inc. in Ohio is seeking a level II agent to deliver customer service excellence to members and providers across multiple channels.

You will resolve issues, document interactions, and support continuous quality improvement for member and provider engagement and retention. Responsibilities include assisting with benefits, claims, and provider portal inquiries; escalating complex cases as needed; collaborating with internal stakeholders; and ensuring first-call resolution while

Qualifications

• 1 year of customer service or call center experience.
• Strong communication and data processing skills.
• Ability to maintain confidentiality and comply with HIPAA.
• Detail oriented with time-management abilities.
• Ability to handle multi-channel inquiries and escalations.

Responsibilities

• Provide Level II support to members and providers via phone, chat, and email.
• Document calls across platforms and meet performance goals.
• Escalate issues per policy and coordinate with internal stakeholders.
• Assist with benefits, claims, eligibility, and provider portal inquiries.
• Maintain knowledge of Medicaid/Marketplace lines and provider services.

Skills

Customer service skills

Data processing

Attention to detail

Time management

Verbal & written communication

Tools

Microsoft Office Suite

CRM software

Job description

Molina Healthcare, Inc. in Ohio is seeking a level II agent to deliver customer service excellence to members and providers across multiple channels.

You will resolve issues, document interactions, and support continuous quality improvement for member and provider engagement and retention. Responsibilities include assisting with benefits, claims, and provider portal inquiries; escalating complex cases as needed; collaborating with internal stakeholders; and ensuring first-call resolution while