Member & Provider Support Specialist II

Molina Healthcare, Inc.; Arizona; Remote; USD 42,000 - 54,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a level II service center professional to provide customer service excellence to Molina members and providers across multiple channels (phone, chat, email).

You will resolve issues, document interactions, and support improvements in member and provider engagement and retention. The role requires handling benefits, claims, premiums, and provider portal inquiries with attention to confidentiality and HIPAA compliance, while meeting performance metrics and

Qualifications

• At least 1 year of customer service in a fast-paced/high-volume environment or equivalent

Responsibilities

• Provide level II support center customer service across multiple states/products via phone, chat, and email
• Resolve member/provider issues and document interactions across platforms
• Assist with benefits, claims, premiums, and provider portal inquiries
• Strive for first contact resolution and high-quality service
• Escalate when needed and follow up with timely responses
• Maintain confidentiality and comply with HIPAA requirements
• Document accurately and manage multiple communication channels efficiently
• Collaborate with internal/external stakeholders to improve member/provider experience
• Adhere to Molina hours and scheduling, including overtime/weekends as needed
• Demonstrate two lines of business knowledge (e.g., Medicaid, Marketplace)

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Verbal and written communication

Microsoft Office proficiency

Time management

Tools

Microsoft Office Suite

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Job description

Molina Healthcare, Inc. is seeking a level II service center professional to provide customer service excellence to Molina members and providers across multiple channels (phone, chat, email).

You will resolve issues, document interactions, and support improvements in member and provider engagement and retention. The role requires handling benefits, claims, premiums, and provider portal inquiries with attention to confidentiality and HIPAA compliance, while meeting performance metrics and