Remote Support Center Pro II — Healthcare (Spanish Bilingual)

Molina Healthcare, Inc.; New Mexico; Remote; USD 36,000 - 60,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is hiring for Support Center Representatives Level II. These roles are 100% remote with shifts 8am–8pm local time; weekend shifts included. Higher preference for candidates in Pacific Time.

Bilingual Spanish encouraged to apply. Provides Level II support to Molina members and providers via phone, chat, and email across Medicaid, Medicare and Marketplace lines. Essential duties include issue resolution, documentation, and adherence to HIPAA while delivering excellent customer

Qualifications

• At least 1 year of customer service in a fast-paced environment.
• Strong customer service skills.
• Data processing experience.
• Attention to detail and time-management skills.
• Ability to maintain confidentiality under HIPAA.
• Effective verbal and written communication.
• Proficiency with Microsoft Office and related software.

Responsibilities

• Provide Level II support center service to Molina members and providers.
• Resolve issues and provide information; support continuous quality improvement.
• Document calls across multiple platforms.
• Work scheduled shifts 8am–8pm local time; overtime/weekends as needed.
• Build rapport empathetically and exceed customer expectations.
• Escalate appropriately; coordinate with internal/external stakeholders.
• Handle inquiries on benefits, claims, premiums, provider portal, and eligibility.
• Support multichannel communication (phone, chat, email).
• Understand provider inquiries related to claims, authorizations, appeals, contracting and credentialing.

Skills

Customer service

Communication skills

Data processing

Attention to detail

HIPAA compliance

Tools

Microsoft Office

Microsoft Teams

Genesys

Salesforce

Pega

QNXT

CRM

Verint

Video conferencing

Availity

Job description

Molina Healthcare is hiring for Support Center Representatives Level II. These roles are 100% remote with shifts 8am–8pm local time; weekend shifts included. Higher preference for candidates in Pacific Time.

Bilingual Spanish encouraged to apply. Provides Level II support to Molina members and providers via phone, chat, and email across Medicaid, Medicare and Marketplace lines. Essential duties include issue resolution, documentation, and adherence to HIPAA while delivering excellent customer