Modivcare
ExceptionSpecialistII
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Exception Specialist II at Modivcare. Skills: exception handling, issue investigation, continuous process improvement, customer service. accurate fulfillment and approval procedures related to transportation service requests and reservations. use of internal and external resources”
What You'll Achieve.
Ensure accurate trip data input and resolution in alignment with service guidelines.; Ensure service efficiency and resolution.
Industry & Context.
provides effective solutions; investigates complex service issues to ensure proper utilization
What They're Looking For.
Must Have
High School Diploma required., One (1) plus years of experience, or an equivalent combination of education and experience., Excellent customer service and interpersonal skills., Ability to work independently or within a team setting., Fast learner with adaptability to new technologies and workflows., comprehension and ability to follow complex instructions., Proficient in reading, writing, and speaking English fluently., Exceptional attention to detail and accuracy., Capable of managing multiple tasks while maintaining service quality.
What You'll Do.
accurate fulfillment and approval procedures related to transportation service requests and reservations
use of internal and external resources
direct outreach to members
and other stakeholders
comprehensive support in customer service
and issue investigation
contributing to continuous process improvement
supporting team collaboration
accurate trip data input and resolution in alignment with service guidelines
investigates benefit utilization issues
and provides effective solutions
advises management on customer service concerns and exception trends
manages and recommends improvements to the denial and appeal process
assists with handling inbound and outbound requests via fax
suggests enhancements for the department’s phone operations and overall efficiency
investigates complex service issues to ensure proper utilization
identifies and monitors trends in utilization and billing to detect abusive practices
reports potential abuse or fraud and supports follow-up actions as needed
escalates member dissatisfaction to the appropriate team or management personnel
conducts outreach to medical facilities regarding member transportation and education
supports peers by sharing knowledge
and contributing to team development
participates in additional projects and duties as assigned
How You'll Work.
Team & Collaboration
supporting team collaboration; Ability to work independently or within a team setting.; supports peers by sharing knowledge, mentoring, and contributing to team development.
Communication Scope
Proficient in reading, writing, and speaking English fluently.
Full Job Description
Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! Modivcare is looking for an experienced Exception Specialist II to join our team. This role is responsible for the accurate fulfillment and approval procedures related to transportation service requests and reservations before and/or after the transport has taken place. It involves the use of internal and external resources, as well as direct outreach to members, facilities, clients, and other stakeholders to ensure service efficiency and resolution. The Exception Specialist II will provide comprehensive support in customer service, exception handling, and issue investigation, while contributing to continuous process improvement and supporting team collaboration. **This role…** * Ensures accurate trip data input and resolution in alignment with service guidelines. * Investigates benefit utilization issues, pre-authorizations, process denials, mileage validation, meals & lodging, level of service, and provides effective solutions. * Advises management on customer service concerns and exception trends. * Manages and recommends improvements to the denial and appeal process. * Assists with handling inbound and outbound requests via fax, mail, email, and web. * Suggests enhancements for the department’s phone operations and overall efficiency. * Investigates complex service issues to ensure proper utilization. * Identifies and monitors trends in utilization and billing to detect abusive practices. * Reports potential abuse or fraud and supports follow-up actions as needed. * Escalates member dissatisfaction to the appropriate team or management personnel. * Conducts outreach to medical facilities regarding member transportation and education. * Supports peers by sharing knowledge, mentoring, and contributing to team development. * Participates in additional projects and duties as assigned. **We are inte
Applying for this Exception Specialist II role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Workday
- Workday has a multi-step form — save your progress after every section.
- "Apply With LinkedIn" can fail or lose data; manual entry is more reliable.
- Watch for the "Submit for Review" final step — hitting "Save" alone does not submit.
- Job requisition numbers are useful when following up with HR by email.
ANONYMOUS · UNFILTERED
What do employees actually say about Modivcare?
Real rants from real employees. Read before you apply.