Member & Provider Support Specialist II

Molina Healthcare; Northern (KY); Hybrid; USD 16,000 - 31,000; Full time

Benefits offered by this job

Competitive benefits package

Pay range posted

Job summary

Molina Healthcare is seeking a level II customer service specialist to support Molina members and providers across multiple states, handling inquiries via phone, chat, and email. The role emphasizes problem resolution, clinical sensitivity to HIPAA, and alignment with Molina values.

You will document interactions, strive for first-contact resolution, and collaborate with internal teams to improve the member and provider experience while meeting performance goals.

Qualifications

• Minimum 1 year of customer service or call center experience.
• Strong communication and data handling skills.
• Ability to maintain confidentiality per HIPAA.
• Proficiency with Microsoft Office and related software.
• Attention to detail and multi-tasking in a fast-paced environment.
• Team player with professional demeanor.

Responsibilities

• Provide level II support across multiple channels (phone, chat, email) for Molina members and providers.
• Document calls and resolve inquiries with first-contact resolution when possible.
• Escalate complex issues following defined procedures.
• Collaborate with internal stakeholders to improve member/provider experience.
• Maintain knowledge of Medicaid, Medicare, and Marketplace lines.
• Adhere to scheduled shifts and company policies.

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Verbal and written communication

Microsoft Office proficiency

Tools

Microsoft Office Suite

Job description

Molina Healthcare is seeking a level II customer service specialist to support Molina members and providers across multiple states, handling inquiries via phone, chat, and email. The role emphasizes problem resolution, clinical sensitivity to HIPAA, and alignment with Molina values.

You will document interactions, strive for first-contact resolution, and collaborate with internal teams to improve the member and provider experience while meeting performance goals.