Member & Provider Support Specialist II

Molina Healthcare; Northern (KY); Remote; USD 17,000 - 36,000; Full time

Job summary

Molina Healthcare is seeking a Customer Service Representative to provide level II support to members and providers across phone, chat, and email channels. You will resolve issues, document interactions, and contribute to process improvements while maintaining high standards of care and compliance.

The role requires attention to detail, confidentiality, and strong communication skills, with shifts aligned to Molina's hours of operation and potential overtime as needed.

Qualifications

• 1+ year of customer service, call center or sales experience in a fast-paced environment.
• Strong customer service and data processing skills.
• Attention to detail, organization and time-management abilities.
• Ability to maintain confidentiality per HIPAA requirements.
• Effective verbal and written communication skills.

Responsibilities

• Provides level II support to Molina members and providers across multiple channels.
• Resolves issues and documents calls across platforms.
• Supports process improvement and retention efforts.
• Maintains first-call resolution and accurate records.

Skills

Customer service

Data processing

Attention to detail

Time management

Verbal and written communication

Tools

Microsoft Office

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Job description

Molina Healthcare is seeking a Customer Service Representative to provide level II support to members and providers across phone, chat, and email channels. You will resolve issues, document interactions, and contribute to process improvements while maintaining high standards of care and compliance.

The role requires attention to detail, confidentiality, and strong communication skills, with shifts aligned to Molina's hours of operation and potential overtime as needed.