Member & Provider Support Specialist

Molina Healthcare Inc; United States; On-site; USD 34,000 - 46,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Level I support center representative to deliver customer service excellence to Molina members and providers across multiple states and products, including Medicaid, Medicare and Marketplace lines of business.

The role involves documenting inquiries, building rapport, meeting performance goals, and collaborating with internal/external stakeholders while adhering to Molina values and HIPAA requirements.

Qualifications

• Up to 1 year of customer service, call center and/or sales experience in a fast-paced/high-volume environment.
• Excellent verbal and written communication skills.
• Ability to maintain confidentiality and comply with HIPAA.
• Basic proficiency in Microsoft Office suite and applicable software programs.

Responsibilities

• Provide service support to Molina members and providers via phone, chat, and email across multiple states and products.
• Accurately document relevant details from inquiries.
• Meet or exceed individual performance goals (call quality, attendance, adherence).
• Proactively engage with internal and external stakeholders and follow up with members/providers.
• Assist with provider needs related to eligibility, benefits, provider portal, and claims status.

Skills

Customer service

Communication skills

Data processing

Attention to detail

Time management

Confidentiality

Tools

Microsoft Office

Genesys

Salesforce

Pega

Availity

CRM

Verint

Job description

Molina Healthcare is seeking a Level I support center representative to deliver customer service excellence to Molina members and providers across multiple states and products, including Medicaid, Medicare and Marketplace lines of business.

The role involves documenting inquiries, building rapport, meeting performance goals, and collaborating with internal/external stakeholders while adhering to Molina values and HIPAA requirements.