Support Center Specialist II — Member & Provider Care

Molina Healthcare; Orlando (FL); Sur place; USD 2 122 000 - 3 640 000; Plein temps

Avantages offerts par ce poste

Health Insurance

401(k) / Retirement plan

Résumé du poste

Molina Healthcare seeks a Level II customer service professional to support members and providers across phone, chat and email channels. The role involves handling Medicaid, Medicare and Marketplace inquiries, documenting interactions, and working toward first-call resolution.

Responsibilities include issue resolution, data entry across platforms, and collaboration with internal teams while maintaining HIPAA confidentiality and meeting performance targets.

Qualifications

• At least 1 year of customer service in a fast-paced/high-volume environment.
• Customer service skills.
• Data processing experience.
• Attention to detail, organizational and time-management skills.
• Ability to maintain confidentiality and comply with HIPAA.
• Effective verbal and written communication skills.
• Proficiency in Microsoft Office suite and applicable software programs.

Responsabilités

• Provides service support to members and/or providers via phone, chat and email across multiple states/products including Medicaid, Medicare and Marketplace.
• Documents all calls across multiple platforms accurately.
• Assists with issue resolution and process improvement for member/provider engagement.
• Maintains first-call resolution and adheres to scheduled shifts and breaks.
• Escalates issues according to established protocols and communicates with internal/external stakeholders.
• Demonstrates empathy and builds rapport to meet customer expectations.

Connaissances

Customer service

Call center experience

Data processing

Attention to detail

HIPAA compliance

Verbal and written communication

Microsoft Office

Formation

High school diploma or equivalent

Outils

Microsoft Office

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Description du poste

Molina Healthcare seeks a Level II customer service professional to support members and providers across phone, chat and email channels. The role involves handling Medicaid, Medicare and Marketplace inquiries, documenting interactions, and working toward first-call resolution.

Responsibilities include issue resolution, data entry across platforms, and collaboration with internal teams while maintaining HIPAA confidentiality and meeting performance targets.