Healthcare Member Support Specialist

Molina Healthcare; Northern (KY); Hybrid; USD 15,000 - 33,000; Full time

Job summary

Molina Healthcare is seeking a customer service-oriented associate to provide level I support for members and providers across Medicaid, Medicare and Marketplace lines. You will handle inquiries via phone, chat, and email, document details, and ensure timely follow-up while maintaining HIPAA standards.

Role emphasizes empathy, accuracy, and collaboration with internal and external stakeholders, with opportunities to contribute to member and provider experience improvement.

Qualifications

• Up to 1 year of customer service experience or equivalent
• Strong customer service skills
• Data processing experience
• Attention to detail, organizational and time-management skills
• Ability to maintain confidentiality and comply with HIPAA
• Effective verbal and written communication
• Basic proficiency in Microsoft Office

Responsibilities

• Provide service support to members and providers via phone, chat and email across multiple states/products
• Conduct surveys related to health assessments and satisfaction
• Document pertinent details related to inquiries
• Work scheduled Molina hours with breaks and possible overtime/weekends
• Build rapport with customers in an empathetic manner and meet expectations
• Listen, capture information, and identify inquiries and concerns
• Meet or exceed performance goals for call quality and attendance
• Collaborate with internal/external stakeholders
• Own real-time solutions and timely follow-up with members/providers
• Assist provider needs related to eligibility, benefits, provider portal, and claims status

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Verbal & written communication

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a customer service-oriented associate to provide level I support for members and providers across Medicaid, Medicare and Marketplace lines. You will handle inquiries via phone, chat, and email, document details, and ensure timely follow-up while maintaining HIPAA standards.

Role emphasizes empathy, accuracy, and collaboration with internal and external stakeholders, with opportunities to contribute to member and provider experience improvement.