Member & Provider Support Specialist II

Molina Healthcare; Farmington (NM); On-site; USD 21,000 - 36,000; Full time

Job summary

Molina Healthcare is seeking a Customer Service Specialist in Farmington, NM to deliver high-quality support to members and providers across phone, chat, and email channels. You will address benefits, claims, and provider portal inquiries while maintaining HIPAA compliance and accurate documentation.

You will work within Molina's hours, demonstrate empathy, and strive for first-call resolution while meeting performance metrics and collaborating with internal teams.

Qualifications

• 1+ year of customer service or call center experience.
• Familiarity with HIPAA and confidentiality requirements.
• Strong verbal and written communication skills.

Responsibilities

• Provide multi-channel support (phone, chat, email) to Molina members and providers.
• Document calls and issues across systems with accuracy.
• Resolve inquiries and escalate appropriately within defined SLAs.
• Maintain knowledge of benefits, claims, and provider portal.

Skills

Customer service

Data processing

Attention to detail

HIPAA knowledge

Verbal & written communication

Team collaboration

Tools

Microsoft Office

Microsoft Teams

Salesforce

Pega

Genesys

CRM

Verint

Availity

Job description

Molina Healthcare is seeking a Customer Service Specialist in Farmington, NM to deliver high-quality support to members and providers across phone, chat, and email channels. You will address benefits, claims, and provider portal inquiries while maintaining HIPAA compliance and accurate documentation.

You will work within Molina's hours, demonstrate empathy, and strive for first-call resolution while meeting performance metrics and collaborating with internal teams.