Remote Support Center Specialist – Member & Provider Care

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

Job summary

Molina Healthcare is seeking a level I help desk specialist to provide customer service support to Molina members and providers across multiple states. You will handle inquiries via phone, chat and email, document details, and strive to resolve issues with empathy and accuracy.

Responsibilities include supporting member eligibility, benefits information, provider portal inquiries, and timely follow-up while maintaining HIPAA compliance.

Qualifications

• Up to 1 year of customer service, call center and/or sales experience 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.
• Basic proficiency in Microsoft Office suite and applicable software programs.

Responsibilities

• Provides service support to members and/or providers using multiple channels (phone, chat, email).
• Documents pertinent details related to inquiries accurately.
• Works scheduled shifts within Molina hours of operation, including weekends/overtime as needed.
• Builds rapport with customers and responds empathetically to needs.
• Listens attentively and captures relevant information from inquiries.
• Meets or exceeds individual performance goals (call quality, attendance, adherence).
• Collaborates with internal/external stakeholders.
• Takes ownership of real-time problem solving and timely follow-up.
• Supports 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

CRM software

Genesys

Salesforce

Pega

QNXT

Verint

Availity

Job description

Molina Healthcare is seeking a level I help desk specialist to provide customer service support to Molina members and providers across multiple states. You will handle inquiries via phone, chat and email, document details, and strive to resolve issues with empathy and accuracy.

Responsibilities include supporting member eligibility, benefits information, provider portal inquiries, and timely follow-up while maintaining HIPAA compliance.