Health Plan Member Support Specialist

Molina Healthcare, Inc.; Tucson (AZ); Remote; USD 25,000 - 30,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a level II customer service specialist to support members and providers across multiple states and products.

You will handle calls via phone, chat, and email, document interactions, and contribute to process improvements while maintaining confidentiality and high service standards. Ideal candidates bring 1+ year of fast-paced call center experience, strong communication skills, and proficiency with Microsoft Office, Teams, and healthcare software.

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 work relationships with coworkers, members and customers.
• Effective verbal and written communication skills.
• Proficiency in Microsoft Office suite and applicable software programs.

Responsibilities

• Provides level II support center customer service to Molina members and providers across multiple states and products.
• Resolves issues and identifies opportunities to improve member/provider experience.
• Documents calls across multiple platforms with accuracy.
• Delivers excellent customer service and first call resolution.
• Supports questions about benefits, claims, premiums and provider portal with initial research.
• Engages with stakeholders to support continuous quality improvement initiatives.

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Microsoft Office

Verbal and written communication

Tools

Microsoft Office

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Job description

Molina Healthcare, Inc. is seeking a level II customer service specialist to support members and providers across multiple states and products.

You will handle calls via phone, chat, and email, document interactions, and contribute to process improvements while maintaining confidentiality and high service standards. Ideal candidates bring 1+ year of fast-paced call center experience, strong communication skills, and proficiency with Microsoft Office, Teams, and healthcare software.