Member & Provider Support Specialist

Molina Healthcare; Columbus (OH); On-site; USD 17,000 - 33,000; Full time

Job summary

Molina Healthcare is seeking a Level I Support Center Associate to provide customer service excellence to Molina members and providers across phone, chat and email channels. You will document inquiries, resolve issues, and support Medicaid, Medicare and Marketplace lines of business.

Demonstrated empathy, strong communication, and attention to detail are essential. You will work within Molina hours, collaborate with stakeholders, and uphold HIPAA standards while aiming to meet performance goals.

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.
• HIPAA confidentiality and compliance.
• Ability to establish and maintain positive relationships with coworkers, members, providers and customers.
• Effective verbal and written communication skills.
• Basic proficiency in Microsoft Office suite.

Responsibilities

• Provide service support to members and/or providers using multiple channels including phone, chat and email.
• Conduct surveys related to health assessments and member/provider satisfaction.
• Document pertinent details related to inquiries accurately.
• Work within Molina hours of operation and accommodate overtime/weekends as needed.
• Build rapport and respond empathetically, exceeding customer expectations.
• Listen attentively, capture information, and identify inquiries.
• Meet or exceed personal performance goals (call quality, attendance, adherence).
• Collaborate with internal/external stakeholders.
• Take ownership of real-time solutions and timely follow-up.
• Support provider needs related to eligibility, benefits, provider portal, and claims status.

Skills

Customer service

Data processing

Attention to detail

Time management

HIPAA compliance

Communication skills

Microsoft Office

Tools

Microsoft Office Suite

Job description

Molina Healthcare is seeking a Level I Support Center Associate to provide customer service excellence to Molina members and providers across phone, chat and email channels. You will document inquiries, resolve issues, and support Medicaid, Medicare and Marketplace lines of business.

Demonstrated empathy, strong communication, and attention to detail are essential. You will work within Molina hours, collaborate with stakeholders, and uphold HIPAA standards while aiming to meet performance goals.