Healthcare Member & Provider Support Specialist

Molina Healthcare; Rio Rancho (NM); On-site; USD 21,000 - 33,000; Full time

Job summary

Molina Healthcare seeks a Level I support center agent to deliver customer service excellence for members and providers across phone, chat, and email channels. You will document inquiries, resolve issues, and contribute to a positive member and provider experience.

The role emphasizes empathy, accuracy, HIPAA compliance, and the ability to manage multiple tasks in a fast-paced environment while meeting performance goals and collaborating with stakeholders.

Qualifications

• Up to 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment, or equivalent combination of relevant education and experience.
• Customer service skills.
• Data processing experience.
• Attention to detail, organizational and time-management skills, and ability to manage simultaneous tasks to meet business needs.
• Ability to maintain confidentiality and comply with HIPAA.
• Ability to establish and maintain positive and effective 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 level I support center customer service excellence to members and providers across multiple channels (phone, chat, email).
• Accurately documents pertinent details related to member or provider inquiries.
• Meets or exceeds individual performance goals in call quality, attendance, adherence and other objectives.
• Proactively engages with internal/external stakeholders and follows up on issues.
• Supports provider needs related to member eligibility, benefits, provider portal, and submitted claims.

Skills

Customer service

Data processing

Communication skills

HIPAA compliance

Tools

Microsoft Office

CRM/Support tools

Job description

Molina Healthcare seeks a Level I support center agent to deliver customer service excellence for members and providers across phone, chat, and email channels. You will document inquiries, resolve issues, and contribute to a positive member and provider experience.

The role emphasizes empathy, accuracy, HIPAA compliance, and the ability to manage multiple tasks in a fast-paced environment while meeting performance goals and collaborating with stakeholders.