Empathetic Member & Provider Support Specialist

Molina Healthcare; Town of Florida (NY); On-site; USD 1,929,000 - 2,893,000; Full time

Job summary

Molina Healthcare is seeking a Customer Service professional to provide level I support to members and providers across Medicaid, Medicare, and Marketplace lines. The role emphasizes empathetic communication, accurate documentation, and collaboration with internal stakeholders to resolve inquiries and improve member experiences.

The candidate will handle calls, chats, and emails, work within Molina hours, and strive to meet performance goals in quality, attendance, and responsiveness.

Qualifications

• Customer service skills.
• Data processing experience.
• Attention to detail and time-management.
• Ability to maintain HIPAA compliance.
• Effective verbal and written communication.
• Basic proficiency with Microsoft Office suite.

Responsibilities

• Provides service support to Molina members and providers via phone, chat, and email.
• Documents details for member or provider inquiries.
• Adheres to Molina hours and break schedules; supports overtime/weekends as needed.
• Builds rapport with customers and delivers empathetic service.
• Captures information, identifies inquiries, and resolves issues.
• Meets individual performance goals for call quality and attendance.
• Collaborates with internal/external stakeholders for timely resolution.
• Takes ownership of real-time problem solving and follow-up.

Skills

Customer service

Data processing

Attention to detail

HIPAA

Communication

Microsoft Office

Job description

Molina Healthcare is seeking a Customer Service professional to provide level I support to members and providers across Medicaid, Medicare, and Marketplace lines. The role emphasizes empathetic communication, accurate documentation, and collaboration with internal stakeholders to resolve inquiries and improve member experiences.

The candidate will handle calls, chats, and emails, work within Molina hours, and strive to meet performance goals in quality, attendance, and responsiveness.