Member & Provider Support Specialist

Molina Healthcare; Georgetown (KY); On-site; USD 16,000 - 33,000; Full time

Job summary

Molina Healthcare is seeking a first-line support associate to deliver customer service to members and providers across Medicaid, Medicare and Marketplace lines. The role involves handling inquiries via phone, chat, and email, documenting details, and collaborating with internal and external stakeholders to resolve issues effectively.

Candidates should have up to 1 year of relevant experience, strong communication skills, and a basic proficiency in the Microsoft Office suite.

Qualifications

• Up to 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment.
• Customer Service skills and ability to maintain confidentiality (HIPAA).
• Attention to detail, organization and time-management are essential.
• Proficient in Microsoft Office and applicable software programs.
• Effective verbal and written communication skills.

Responsibilities

• Provides service support to members and/or providers using multiple channels (phone, chat, email).
• Documents pertinent details related to member or provider inquiries.
• Maintains schedules, adherence, and attendance per department protocol.
• Builds rapport with customers and responds empathetically to needs and inquiries.
• Supports provider needs related to member eligibility and benefits, provider portal, and claims status.

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Verbal communication

Written communication

Microsoft Office

Tools

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Job description

Molina Healthcare is seeking a first-line support associate to deliver customer service to members and providers across Medicaid, Medicare and Marketplace lines. The role involves handling inquiries via phone, chat, and email, documenting details, and collaborating with internal and external stakeholders to resolve issues effectively.

Candidates should have up to 1 year of relevant experience, strong communication skills, and a basic proficiency in the Microsoft Office suite.