Healthcare Member Support Specialist

Molina Healthcare; California; On-site; USD 21,000 - 33,000; Full time

Job summary

Molina Healthcare in California is seeking a Customer Service Associate to provide level I support for 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 clarity.

The role requires strong communication, attention to detail, HIPAA compliance, and the ability to meet performance goals while coordinating with internal teams.

Qualifications

• Up to 1 year of customer service in a fast-paced/high-volume environment or equivalent experience.
• Customer service skills.
• Data processing experience.
• Attention to detail, organizational and time-management skills.
• HIPAA compliance.
• Ability to establish positive working relationships with coworkers, members, providers and customers.
• Effective verbal and written communication skills.
• Basic proficiency in Microsoft Office.

Responsibilities

• Provide service support to members and/or providers via phone, chat and email across multiple states/products.
• Conduct surveys related to health assessments and member/provider satisfaction.
• Accurately document pertinent details related to inquiries.
• Follow Molina hours, breaks, and overtime as needed.
• Build rapport and respond empathetically to customers.
• Listen attentively, capture relevant information, and identify inquiries.
• Meet or exceed performance goals (call quality, attendance, adherence).
• Collaborate with internal/external stakeholders.
• Take ownership of real-time problem solving and timely follow-up.
• Support provider needs related to eligibility and benefits, provider portal, and claims status.

Skills

Customer service

Data processing

HIPAA compliance

Verbal and written communication

MS Office

Tools

Microsoft Office

Microsoft Teams

Genesys

Salesforce

Pega

CRM

Verint

Job description

Molina Healthcare in California is seeking a Customer Service Associate to provide level I support for 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 clarity.

The role requires strong communication, attention to detail, HIPAA compliance, and the ability to meet performance goals while coordinating with internal teams.