Member & Provider Support Specialist

Molina Healthcare; United States; On-site; USD 15,000 - 33,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Customer Service Associate to provide level I support to members and providers across Medicaid, Medicare, and Marketplace lines. You will handle calls, chats, and emails within a 10:30am-7pm CST schedule, addressing inquiries with empathy and accuracy.

You will document details, meet performance goals, and coordinate with internal stakeholders to ensure smooth member experiences and timely follow-ups on eligibility and benefits inquiries.

Qualifications

• Up to 1 year of customer service experience in a fast-paced/high-volume environment.
• Customer service skills.
• Data processing experience.
• Attention to detail, organizational and time-management skills.
• Ability to maintain confidentiality and comply with HIPAA.
• Ability to establish and maintain positive work relationships.
• Effective verbal and written communication skills.
• Basic proficiency in Microsoft Office suite and applicable software programs.

Responsibilities

• Provide service support to members/providers through channels like phone, chat, and email.
• Conduct surveys related to health assessments and satisfaction.
• Document pertinent details of inquiries.
• Work scheduled Molina hours, including lunches and breaks; overtime/weekends as needed.
• Build rapport with customers and respond empathetically to needs.
• Capture information and identify inquiries and concerns.
• Meet/exceed performance goals: call quality, attendance, adherence.

Skills

Customer service

Data processing

HIPAA compliance

Verbal / written communication

Time management

Tools

Microsoft Office

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Job description

Molina Healthcare is seeking a Customer Service Associate to provide level I support to members and providers across Medicaid, Medicare, and Marketplace lines. You will handle calls, chats, and emails within a 10:30am-7pm CST schedule, addressing inquiries with empathy and accuracy.

You will document details, meet performance goals, and coordinate with internal stakeholders to ensure smooth member experiences and timely follow-ups on eligibility and benefits inquiries.