Member & Provider Support Specialist II

Molina Healthcare; Des Moines (IA); On-site; USD 30,000 - 41,000; Full time

Job summary

Molina Healthcare is hiring for a level II customer service role supporting Molina members and providers across multiple states. The role requires handling inquiries via phone, chat, and email, resolving issues, and maintaining high-quality service while adhering to HIPAA and company standards.

The position emphasizes strong communication, documentation accuracy, and collaboration with internal teams to improve the member/provider experience and retention.

Qualifications

• 1+ year in a fast-paced customer service or call center environment.
• Strong communication skills, both verbal and written.
• Ability to handle confidential information and HIPAA compliance.
• Proficiency with Microsoft Office and CRM tools.

Responsibilities

• Provide level II support to Molina members and providers via phone, chat, and email.
• Document interactions accurately across multiple platforms.
• Identify issues, perform initial research, and resolve inquiries related to benefits, claims, and eligibility.
• Maintain first-call resolution and high quality service.

Skills

Customer service

Data processing

Attention to detail

Verbal and written communication

Tools

Microsoft Office

Microsoft Teams

CRM systems

Genesys/Salesforce

Job description

Molina Healthcare is hiring for a level II customer service role supporting Molina members and providers across multiple states. The role requires handling inquiries via phone, chat, and email, resolving issues, and maintaining high-quality service while adhering to HIPAA and company standards.

The position emphasizes strong communication, documentation accuracy, and collaboration with internal teams to improve the member/provider experience and retention.