Bilingual Customer Service Representative

Job Description

Job Description

Join Our Team as a Healthcare Customer Service Representative!

Are you passionate about helping people and delivering exceptional customer service? We are looking for dedicated professionals to join our team as Healthcare Customer Service Representatives , playing a key role in providing an outstanding experience for our members and clients.

In this position, you will serve as the first point of contact, providing telephone assistance, resolving customer needs on the first interaction whenever possible, and ensuring a professional, empathetic, and efficient service experience.

This role also offers opportunities to support clients in the United States, allowing you to expand your professional experience in a dynamic, international environment.

Key Responsibilities

• Answer inbound calls from members and provide clear information about their health plans.
• Guide and educate members regarding coverage, benefits, and promotions (non-clinical topics).
• Accurately document customer inquiries, interactions, and actions taken while ensuring compliance.
• Escalate unresolved issues or complaints to supervisors or the appropriate departments.
• Participate in outbound interview campaigns, Contact Center projects, and training programs.
• Maintain confidentiality of member information and comply with HIPAA regulations and internal company policies.

Qualifications

• Minimum of 1 year of Customer Service experience .
• High School Diploma required (college coursework preferred).
• Proficiency in computer applications and Microsoft Office.
• Excellent verbal, written, and reading communication skills.
• Bilingual (English and Spanish).
• Strong customer service orientation, empathy, and a proactive attitude.
• Availability to work rotating 8-hour shifts in a 24/7 operation , including weekends and holidays. Shift differential pay is provided when applicable.

Benefits

• Specialized training in customer service, healthcare topics, and regulatory compliance.
• 24/7 Telemedicine service.
• Free employee health and wellness programs.
• Career growth and professional development opportunities.
• Paid time off.
• Retirement plan.
• The opportunity to make a positive impact on the health and well-being of the community.

Location: On-site in Guaynabo or Mayagüez, Puerto Rico | Hybrid (based on position availability)
Employment Type: Full-time | Temporary

We are an Equal Employment Opportunity (EEO) employer.