Member & Provider Care Call Center Specialist

Molina Healthcare; Columbus (OH); Remote; USD 35,000 - 54,000; Full time

Job summary

Molina Healthcare in Columbus, Ohio is seeking an Ohio-resident Level II support agent to deliver customer service excellence to Molina members and providers across Medicaid, Medicare and Marketplace programs. You will handle calls, chats and emails, document interactions, resolve issues, and collaborate with internal teams to improve member and provider engagement while upholding HIPAA requirements.

This role emphasizes quality, first call resolution and proactive problem solving within

Qualifications

• 1 year or more of customer service, call center and/or sales experience in a fast-paced/high-volume environment.
• Excellent customer service skills and ability to manage multiple tasks.
• Data processing experience.
• Attention to detail, organizational and time-management skills.
• Ability to maintain confidentiality and comply with HIPAA.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office and applicable software programs.

Responsibilities

• Provide level II support center service across channels (phone, chat, email) for Medicaid, Medicare and Marketplace lines.
• Assist members and providers with appeals, grievances, and problem resolution.
• Document all calls across multiple platforms.
• Aim for first call resolution and quality in every interaction.
• Collaborate with internal/external stakeholders to improve processes.
• Work scheduled Molina hours and accommodate overtime/weekends as needed.
• Demonstrate empathy, build rapport, and capture relevant information for issue resolution.

Skills

Customer service

Communication skills

Data processing

Attention to detail

HIPAA compliance

Tools

Microsoft Office

Job description

Molina Healthcare in Columbus, Ohio is seeking an Ohio-resident Level II support agent to deliver customer service excellence to Molina members and providers across Medicaid, Medicare and Marketplace programs. You will handle calls, chats and emails, document interactions, resolve issues, and collaborate with internal teams to improve member and provider engagement while upholding HIPAA requirements.

This role emphasizes quality, first call resolution and proactive problem solving within