Member & Provider Support Specialist

Molina Healthcare; Long Beach (CA); On-site; USD 42,000 - 58,000; Full time

Job summary

Molina Healthcare is seeking a level I support center agent to assist Molina members and providers across channels (phone, chat and email). You will resolve issues, document pertinent details, and identify opportunities to improve the member and provider experience.

The role requires strong customer service skills, attention to detail, HIPAA compliance, and the ability to build rapport with diverse stakeholders.

Qualifications

• Up to 1 year of customer service experience in a fast-paced environment.
• Strong customer service skills and data processing experience.
• Attention to detail, organizational and time-management skills.
• Ability to maintain confidentiality and HIPAA compliance.
• Excellent verbal and written communication abilities.
• Proficiency with Microsoft Office and related software.

Responsibilities

• Provide service support to members/providers via phone, chat, and email across varying states/products.
• Document inquiries accurately and follow up on issues.
• Build rapport with members/providers and meet performance goals.
• Collaborate with internal/external stakeholders.
• Assist with provider needs on eligibility, benefits, portal, and claims status.

Skills

Customer service

Data processing

Communication

Attention to detail

HIPAA compliance

Time management

Tools

Microsoft Office

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Video conferencing

Availity

CVS Caremark

Job description

Molina Healthcare is seeking a level I support center agent to assist Molina members and providers across channels (phone, chat and email). You will resolve issues, document pertinent details, and identify opportunities to improve the member and provider experience.

The role requires strong customer service skills, attention to detail, HIPAA compliance, and the ability to build rapport with diverse stakeholders.