Support Center Specialist II - Member & Provider Experience

Molina Healthcare

Washington (IA)

Hybride

USD 29 000 - 41 000

Plein temps

14 jours+

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Résumé du poste

Molina Healthcare is seeking a detail-oriented Customer Service Associate to provide level II support to members and providers across Medicaid, Medicare and Marketplace lines. You will handle calls, chats, and emails, document interactions, and strive for first-call resolution while upholding Molina values.

You will work with internal and external stakeholders, participate in process improvements, and ensure timely follow-up.

Qualifications

  • At least 1 year of customer service, call center and/or sales experience 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.
  • Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
  • Effective verbal and written communication skills.

Responsabilités

  • Provides service support to members and/or providers via phone, chat and email across multiple states/products.
  • Supports member/provider issues including appeals, grievances, and documentation materials.
  • Aims for process improvement and member/provider retention.
  • Delivers excellent customer service and first call resolution.
  • Documents all calls across platforms with accuracy.
  • Adheres to Molina hours, breaks, and overtime as needed.
  • Builds rapport and responds empathetically to customers.

Connaissances

Customer service
Data processing
Attention to detail
Time management
HIPAA compliance
Verbal communication
Written communication

Outils

Microsoft Office
Microsoft Teams
Genesys
Salesforce
Pega
QNXT
CRM
Verint
Video conferencing
Availity

Description du poste

Molina Healthcare is seeking a detail-oriented Customer Service Associate to provide level II support to members and providers across Medicaid, Medicare and Marketplace lines. You will handle calls, chats, and emails, document interactions, and strive for first-call resolution while upholding Molina values.

You will work with internal and external stakeholders, participate in process improvements, and ensure timely follow-up.

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