Member & Provider Support Specialist II

Molina Healthcare; Jackson (MS); On-site; USD 21,000 - 36,000; Full time

Job summary

Molina Healthcare is seeking a responsive customer service professional to support members and providers in a fast-paced center. You will handle calls, chats, and emails, resolve issues, document interactions, and strive for first-call resolution through adherence to HIPAA guidelines.

Ideal candidates bring experience in a high-volume environment, strong communication skills, and proficiency with Microsoft Office and CRM tools.

Qualifications

• At least 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment.
• Data processing experience and attention to detail are required.
• Ability to maintain confidentiality and comply with HIPAA.

Responsibilities

• Provide level II support center customer service to Molina members and providers across multiple channels.
• Resolve member/provider issues with effective problem research and resolution.
• Accurately document calls and maintain records across platforms.
• Meet or exceed performance goals for call quality, attendance, and adherence.
• Demonstrate two or more lines of business proficiency (e.g., Medicaid, Marketplace).

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Verbal and written communication

Tools

Microsoft Office

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

CVS Caremark

Availity

Job description

Molina Healthcare is seeking a responsive customer service professional to support members and providers in a fast-paced center. You will handle calls, chats, and emails, resolve issues, document interactions, and strive for first-call resolution through adherence to HIPAA guidelines.

Ideal candidates bring experience in a high-volume environment, strong communication skills, and proficiency with Microsoft Office and CRM tools.