Member & Provider Support Specialist

Molina Healthcare; Town of Florida (NY); On-site; USD 36,000 - 52,000; Full time

Job summary

Molina Healthcare is seeking a Level I customer service specialist to support members and providers via phone, chat, and email channels across multiple states and products. You will document inquiries accurately, resolve issues, and strive to meet performance goals while maintaining HIPAA compliance.

Collaboration with internal and external stakeholders is essential to improve the member and provider experience and ensure timely follow-up on inquiries related to eligibility, benefits, and

Qualifications

• Up to 1 year of customer service in a fast-paced environment.
• Strong verbal and written communication skills.
• Ability to maintain confidentiality and comply with HIPAA.
• Proficiency with Microsoft Office suite.

Responsibilities

• Provide service support to members and providers via phone, chat and email across multiple states/products.
• Accurately document inquiries and relevant details.
• Meet or exceed performance goals in call quality, attendance, and adherence.
• Proactively engage with internal/external stakeholders to resolve issues.
• Assist with inquiries related to eligibility, benefits, provider portal and claims status.
• Follow schedules, including lunches/breaks, and accommodate overtime/weekends as needed.

Skills

Customer service

Data processing

Attention to detail

Communication skills

HIPAA compliance

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Level I customer service specialist to support members and providers via phone, chat, and email channels across multiple states and products. You will document inquiries accurately, resolve issues, and strive to meet performance goals while maintaining HIPAA compliance.

Collaboration with internal and external stakeholders is essential to improve the member and provider experience and ensure timely follow-up on inquiries related to eligibility, benefits, and