Customer Service Support Specialist (27782888)

Moda Partners, Inc.; Oregon; On-site; USD 29,000 - 33,000; Full time

Benefits offered by this job

Medical, Dental, Vision, Pharmacy

401K- Matching

FSA

Employee Assistance Program

PTO and holidays

Job summary

Moda Health is seeking a CS Tech Support Specialist I to provide professional customer service and technical assistance across Medical, Dental, Pharmacy and Membership platforms. This full-time work-from-home role emphasizes timely responses, accurate information, and proactive issue resolution.

You will handle MyModa, eBill and Benefit Tracker tasks while maintaining confidentiality and adhering to security standards.

Qualifications

• High school diploma or equivalent.
• 6–12 months experience as a Customer Service Rep Level II or equivalent.
• 10 key proficiency of 135 spm net on keypad.
• Typing ability of 25 wpm net.
• Proficiency with multiple systems and Moda software (Microsoft Office, Facets, Content Manager, Excel, EBT).
• Experience with claims processing, membership accounting, and benefit questions.

Responsibilities

• Interpret needs and concerns, guide users through features, and troubleshoot.
• Respond to customer queries via phone, email, chat or social media.
• Identify problems and implement step-by-step solutions.
• Support customers across platforms and devices and manage multiple tickets.

Skills

Customer Service

Technical Support

Multitasking

Communication

Problem Solving

Empathy

Education

High school diploma or equivalent

Tools

MS Office

Facets

Content Manager

Excel

EBT

Job description

Let’s do great things, together!

About Moda

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary

The CS Tech Support Specialist I position serves provides Customer Service and Technical Support to internal and external clients through multiple contact channels for Medical, Dental, Pharmacy, Individual Membership Account, MyModa, Benefit Tracker Administration and Maintenance. Administers Moda online Customer Service programs, including program application procedures, internet security protocol for external users and records maintenance. Shares administration of MyModa, eBill and Benefit Tracker functionality. The primary role of this position is to provide professional, prompt and accurate technical support to all Internal and External Customers.

This is FT WFH role.

Pay Range

$21.30 - $23.96 hourly (depending on experience)

**Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Benefits

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Required Skills, Experience & Education

• High school diploma or equivalent.
• 6-12 months experience as a Customer Service Rep Level II, consistently exceeding level of performance or equivalent work experience.
• 10 key proficiency of 135 spm net on a computer numeric keypad.
• Typing ability of 25 wpm net.
• Computer proficiency with multiple systems, browsers, Moda software (Microsoft Office applications, Facets, Content Manager, Excel, EBT, online chat) and updates.
• Prior experience or basic understanding of claims processing, membership accounting, medical/dental/pharmacy plan benefits and/or other related experience handling Customer Service escalations, Technical Support or Online Chat.
• Strong time management, planning and organization skills with ability to prioritized and manage changing priorities.
• Ability to handle multiple tasks simultaneously and adapt to change.
• Ability to work well under pressure in a complex and rapidly changing environment.
• Ability to anticipate, identify, analyze and resolve conflict and problems.
• Ability to listen and understand information verbally and in writing.
• Well-developed verbal and written communication skills with the ability to actively listen, interact professionally, patiently and courteously with clients on the phone, in person, through email, social media or online chat.
• Strong analytical and critical thinking, problem solving, decision-making skills, with attention to detail.
• Maintain confidentiality and project professional business presence and appearance.
• Ability to comply with company rules and policies and maintain attendance above company standards.
• Able to embrace process improvements and works well in a team oriented environment.
• Demonstrated ability to handle difficult calls and benefit issues with little assistance and provide accurate information in a fast paced environment.
• Experience working in a collaborative and fast-paced team environment.
• Demonstrated real time problem-solving skills and ability to prioritize multiple tasks based on urgency and importance.
• Help customers troubleshoot issues they encounter and provide actionable tips to resolve.
• Demonstrated outstanding attention to detail, ownership, and follow-through.
• Consistent record of achieving individual and team metrics.
• Excellent professional written & oral communication skills.
• Passion for technology and willingness to learn new skills.
• Ability to navigate multiple computer programs in a fast pace multi-tasking environment.
• Empathy/compassion for working with senior, disabled, low income populations.
• Ability to work extra hours and participate in overtime as needed.
• Ability to work with multiple Pharmacy, Dental and Medical (Individual, Specialized, Medical Intake, EOCCO) applications and contacts types at the same time.

Primary Functions

• Responsible for interpreting needs/concerns, determining best course of action, troubleshoot, and identify system issues and solutions. Guide users through features and functionalities.
• Respond to customer queries in a timely and accurate way, via phone, email, chat or social media.
• Quickly identify problems, form solutions, and execute step-by-step troubleshooting procedures.
• Support customers across different platforms; phone, email, chat or social media and ability to trouble shoot multiple devices (desktop pc, tablet, phones, browsers, hardware, OS)
• Resolve issues efficiently from start to finish, set appropriate expectations and follow through; and/or elevate support tickets to leadership when escalation is required.
• Analyzing and reporting system issues and trends in a timely manner. Provide customer feedback received to leadership.
• Develop access to registrants’ passwords and log-in data so when questions are received a prompt answer can be provided.
• Ability to repeatedly analyze situations and communicate effectively in a fast paced environment that includes dealing with angry people.
• Exercise judgment, initiative, and discretion in confidential and sensitive manners.
• Consistently follow the correct process and procedure with each line of business and contact method being used.
• Maintain forms necessary for new external provider and employer users.
• Responsible for handling all requests received for Certificate of Coverage and CCC letters
• Responds to Benefit Tracker, MyModa, EBT and External Secure email user questions (via telephone, email, or correspondence).
• Monitor customer complaints on social media and reach out to provide assistance.
• Respond to email inquiries received from multiple mailboxes across all lines of business: MyModa, Medical, Dental, Pharmacy, EBT and Individual Membership Accounting, within established turnaround times.
• Open and Submit service tickets for possible Benefit Tracker, eBill and MyModa programming changes, system issues and trending topics (following established reporting policy).
• Review, update and become familiar with new and revised benefit information or claim processing procedures.
• Contact providers, group administrators and agents when necessary to answer questions and obtain or provide information.
• Support and assist Medical, Dental, Pharmacy and Individual Membership administrator questions.
• Maintain detailed records of daily interactions with customers, reported issues, and completed solutions along with any further actions required of customer service or Moda
• Communicate clearly and effectively with end users, colleagues, and management to quickly resolve issues and ensure customer satisfaction.
• Other duties as assigned

Working Conditions & Contact with Others

• Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business need.
• Answer inquiries received through phone calls, emails, online chat, social media and outbound text from subscribers, members, Agents, Brokers, Providers/Facilities, Dentists, Pharmacies, Group Administrators and multiple internal departments.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via [e-mail] email.