Member & Provider Support Specialist II

Molina Healthcare; United States; On-site; USD 38,000 - 54,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a customer service specialist to support members and providers across multiple state programs via phone, chat and email. You will document interactions accurately, aim for first-call resolution, and assist with benefits, claims, and portal inquiries.

The role requires strong communication, data processing skills, and proficiency with Microsoft Office; familiarity with Genesys, Salesforce, CRM systems and related tools is a plus. Equal opportunity employer.

Qualifications

• 1+ year in a fast-paced customer service or call center role.
• Strong customer service and communication skills.
• Proficient in data processing and office software.
• Ability to maintain confidentiality and HIPAA compliance.
• Ability to manage multiple tasks and meet business needs.
• Experience with Microsoft Office and applicable software.

Responsibilities

• Provides service support to members/providers via phone, chat, and email across multiple states/products.
• Documents calls accurately across platforms and strives for first call resolution.
• Assists with appeals, grievances, claims, and provider portal inquiries.
• Maintains professionalism, empathy, and rapport with customers.
• Escalates issues and collaborates with internal/external stakeholders.

Skills

Customer service

Call center experience

Verbal communication

Written communication

Attention to detail

Time management

HIPAA compliance

Microsoft Office

Tools

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Availity

CVS Caremark

Job description

Molina Healthcare, Inc. is seeking a customer service specialist to support members and providers across multiple state programs via phone, chat and email. You will document interactions accurately, aim for first-call resolution, and assist with benefits, claims, and portal inquiries.

The role requires strong communication, data processing skills, and proficiency with Microsoft Office; familiarity with Genesys, Salesforce, CRM systems and related tools is a plus. Equal opportunity employer.