Multichannel Health Plan Member Support Specialist

Molina Healthcare Inc; California (MO); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare Inc. seeks a level I support center associate to deliver customer service excellence to Molina members and providers across multiple states and products.

You will resolve issues, provide information, and document inquiries while supporting provider needs related to eligibility and benefits. You will handle calls, chats, and emails, meet performance goals, build rapport with customers, and collaborate with internal/external stakeholders while maintaining HIPAA compliance and

Qualifications

• Up to 1 year of customer service or call center experience.
• Customer service skills.
• Data processing experience.
• Attention to detail, organizational and time-management skills.
• Ability to maintain confidentiality per HIPAA.
• Effective verbal and written communication skills.
• Basic proficiency in Microsoft Office suite.

Responsibilities

• Provides service support to members and/or providers using one or more channels (phone, chat, email) across multiple states/products.
• Conducts surveys related to health assessments and member/provider satisfaction.
• Documents pertinent details related to inquiries.
• Adheres to Molina hours, lunch/breaks, and overtime/weekend needs as required.
• Builds rapport and responds empathetically to customers, exceeding expectations.
• Captures information and identifies member/provider inquiries and concerns.
• Meets or exceeds individual performance goals for call quality, attendance, and adherence.
• Collaborates with internal/external stakeholders.
• Takes ownership of real-time solutions and timely follow-up for members/providers.
• Supports provider needs related to eligibility, benefits, provider portal, and claims status.

Skills

Customer service

Data processing

Attention to detail

HIPAA

Communication

Microsoft Office

Tools

Microsoft Office

Job description

Molina Healthcare Inc. seeks a level I support center associate to deliver customer service excellence to Molina members and providers across multiple states and products.

You will resolve issues, provide information, and document inquiries while supporting provider needs related to eligibility and benefits. You will handle calls, chats, and emails, meet performance goals, build rapport with customers, and collaborate with internal/external stakeholders while maintaining HIPAA compliance and