Member & Provider Support Center Specialist

Molina Talent Acquisition; Ohio; On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking a level I support center specialist to deliver customer service excellence for Molina members and providers. You will handle inquiries via phone, chat and email across Medicaid, Medicare and Marketplace lines, and strive to resolve issues empathetically and promptly.

Responsibilities include documenting details, conducting health assessments surveys, meeting performance goals, and collaborating with internal and external stakeholders while maintaining HIPAA

Qualifications

• Up to 1 year of customer service or call center experience.
• Strong customer service skills.
• Data processing experience.
• Attention to detail and time-management skills.
• Ability to maintain confidentiality and HIPAA compliance.
• Effective verbal and written communication skills.
• Proficiency in Microsoft Office.

Responsibilities

• Provide service support to members and providers via phone, chat and email across multiple states/products including Medicaid, Medicare and Marketplace.
• Conduct surveys related to health assessments and member/provider satisfaction.
• Accurately document pertinent details related to inquiries.
• Follow scheduled shifts and adhere to breaks; accommodate overtime/weekends as needed.
• Build rapport and respond empathetically to customers.
• Capture information and identify inquiries/concerns.
• Meet or exceed performance goals (call quality, attendance, adherence).
• Collaborate with internal/external stakeholders.
• Take ownership of real-time solutioning and timely follow-up for members/providers.
• Support provider needs related to eligibility, benefits, portal, and claims status.

Skills

Customer service

Data processing

Attention to detail

HIPAA compliance

Verbal and written communication

Microsoft Office

Job description

Molina Healthcare is seeking a level I support center specialist to deliver customer service excellence for Molina members and providers. You will handle inquiries via phone, chat and email across Medicaid, Medicare and Marketplace lines, and strive to resolve issues empathetically and promptly.

Responsibilities include documenting details, conducting health assessments surveys, meeting performance goals, and collaborating with internal and external stakeholders while maintaining HIPAA