Member & Provider Support Specialist

Molina Healthcare; Kentucky; On-site; USD 19,000 - 28,000; Full time

Job summary

Molina Healthcare is seeking an entry-level Customer Service Advocate to provide level I support for members and providers across Medicaid, Medicare and Marketplace lines. You will handle inquiries via phone, chat or email, document details, and resolve issues with empathy and accuracy.

In Kentucky, the role requires basic data processing, strong communication skills, and the ability to manage multiple tasks while upholding HIPAA and confidentiality standards.

Qualifications

• Up to 1 year of customer service, call center and/or sales experience in a fast-paced environment.
• Strong customer service skills and data processing ability.
• Attention to detail, organization, and time management to handle multiple tasks.
• Ability to maintain confidentiality and comply with HIPAA.
• Effective verbal and written communication with coworkers, members and providers.
• Proficient in Microsoft Office and related software.

Responsibilities

• Provide level I support center service to Molina members and providers across multiple states.
• Document inquiries accurately and follow up to resolve issues promptly.
• Build rapport with customers and exceed expectations with empathetic handling.
• Adhere to schedules, breaks, overtime and weekend needs as required.
• Capture information, identify inquiries, and coordinate with internal/external stakeholders.
• Meet performance goals for call quality, attendance and related metrics.
• Support provider needs related to eligibility, benefits, portal access, and claims status.

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Verbal and written communication

Microsoft Office

Tools

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Availity

Job description

Molina Healthcare is seeking an entry-level Customer Service Advocate to provide level I support for members and providers across Medicaid, Medicare and Marketplace lines. You will handle inquiries via phone, chat or email, document details, and resolve issues with empathy and accuracy.

In Kentucky, the role requires basic data processing, strong communication skills, and the ability to manage multiple tasks while upholding HIPAA and confidentiality standards.