Member & Provider Support Specialist II

Molina Healthcare; United States; Remote; USD 42,000 - 60,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking a Customer Service role to support members and providers across multiple states using phone, chat, and email. You will handle inquiries, document interactions, and contribute to issue resolution with a focus on quality and retention.

Ideal candidates have at least 1 year in fast-paced customer service, solid communication, and proficiency with Microsoft Office and healthcare systems. This role requires adherence to HIPAA and strong teamwork.

Qualifications

• At least 1 year of customer service, call center or sales experience in a fast-paced environment.
• Customer service skills.
• Data processing experience.
• Attention to detail, organizational and time-management skills, and ability to manage simultaneous tasks to meet business needs.
• Ability to maintain confidentiality and comply with HIPAA.
• Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
• Effective verbal and written communication skills.
• Proficiency in Microsoft Office suite and applicable software programs.

Responsibilities

• Provides service support to members and/or providers using multiple channels across states/products (phone, chat, email).
• Supports member/provider issues in appeals, grievances, problem research and resolution.
• Assists members/providers focusing on process improvement and retention.
• Delivers excellent customer service and first call resolution.
• Documents all calls across multiple platforms accurately.
• Works scheduled shifts within Molina hours and adheres to lunches/breaks; accommodates overtime/weekends.

Skills

Customer service

Data processing

Attention to detail

Time management

HIPAA compliance

Verbal and written communication

Microsoft Office

Call center experience

Tools

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Video conferencing

Availity

CVS Caremark

Job description

Molina Healthcare is seeking a Customer Service role to support members and providers across multiple states using phone, chat, and email. You will handle inquiries, document interactions, and contribute to issue resolution with a focus on quality and retention.

Ideal candidates have at least 1 year in fast-paced customer service, solid communication, and proficiency with Microsoft Office and healthcare systems. This role requires adherence to HIPAA and strong teamwork.