Healthcare Member Support Specialist - Call Center

Molina Healthcare, Inc.; Austin (TX); Remote; USD 25,000 - 30,000; Full time

Job summary

Molina Healthcare, Inc. in Ohio is seeking a detail-oriented Support Center Associate to assist members and providers across Medicaid, Medicare and Marketplace lines.

You'll handle calls, chats and emails, document interactions, and strive for first-call resolution while following HIPAA guidelines and Molina's service standards.

This role requires strong communication, data processing skills, and the ability to work scheduled shifts including overtime or weekends as needed.

Qualifications

• At least 1 year of customer service in a fast-paced/high-volume environment.
• Customer service skills.
• Data processing experience.
• Attention to detail, organizational and time-management skills.
• Ability to maintain confidentiality and comply with HIPAA.
• Ability to establish and maintain positive 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 via phone, chat and email across multiple states/products including Medicaid, Medicare and Marketplace.
• Documents calls accurately across multiple platforms.
• Assists with issues involving benefits, claims, eligibility and provider portal.
• Aims for first call resolution and strong customer satisfaction.
• Works scheduled shifts, adheres to breaks, and supports overtime/weekends as needed.
• Collaborates with internal/external stakeholders and escalates appropriately when required.

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Verbal and written communication

Tools

Microsoft Office

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Job description

Molina Healthcare, Inc. in Ohio is seeking a detail-oriented Support Center Associate to assist members and providers across Medicaid, Medicare and Marketplace lines.

You'll handle calls, chats and emails, document interactions, and strive for first-call resolution while following HIPAA guidelines and Molina's service standards.

This role requires strong communication, data processing skills, and the ability to work scheduled shifts including overtime or weekends as needed.