Call Center Representative

Job Summary

We are seeking a bilingual Call Center Representative for a full-time, temp-to-hire opportunity in San Juan, PR, supporting healthcare providers in the insurance industry. This role is ideal for a customer-focused professional who is comfortable handling inbound calls, navigating multiple computer systems, and assisting physician offices and clinics with eligibility, claims, billing, payments, authorizations, and benefits questions.

This opportunity offers a structured work environment, steady full-time hours, and the chance to build valuable healthcare customer service experience with a professional provider support team. The Call Center Representative will play an important role in creating a positive provider experience by delivering accurate information, clear communication, and efficient issue resolution.

Key Responsibilities

- Answer incoming calls from healthcare providers, physician offices, and clinics in a professional and courteous manner.
- Assist with inquiries related to benefits and eligibility, claims and billing, payments, treatment authorizations, and Explanation of Benefits.
- Provide live chat support for member eligibility and claims status questions.
- Navigate multiple computer systems to research provider inquiries and resolve issues accurately.
- Document calls, issues, resolutions, and service trends clearly and completely.
- Work toward first-call resolution while maintaining a positive provider service experience.

Compensation and Benefits

- Pay: $13 per hour.
- Job Type: Full-time, temp-to-hire.
- Start Date: October 12, 2026.
- Schedule: Monday through Friday, 40 hours per week.
- Hours of Operation: 8:00 AM to 9:00 PM AST.
- Shift Requirement: Must be flexible to work any assigned 8-hour shift within the hours of operation.
- Location: San Juan, Puerto Rico.
- Openings: 10 positions.

Required Qualifications and Skills

- Support healthcare providers with questions related to eligibility, claims, billing, payments, benefits, and authorizations.
- Research and resolve provider inquiries using multiple computer systems and internal resources.
- Document provider interactions accurately to support service quality and reporting.
- Deliver professional bilingual customer service by phone and live chat.

- 1 or more years of experience in customer service, administrative, clerical, office, call center, or a related environment.
- Healthcare experience is required.
- Bilingual proficiency in Spanish and English is required.
- Previous experience using phones and computers as primary job tools.
- Proficiency with Microsoft Windows and PC applications.
- Ability to learn and navigate new and complex computer systems.
- Strong verbal communication, customer service, and problem-solving skills.
- Strong attention to detail with the ability to document information accurately.
- Ability to research information, follow processes, and resolve issues efficiently.
- Professional, positive, and patient approach when assisting healthcare providers and office staff.

Preferred Qualifications

- Previous call center experience in a healthcare, insurance, provider services, or claims support environment.
- Familiarity with claims status, member eligibility, billing inquiries, authorizations, and Explanation of Benefits.
- Experience working in a metric-driven customer service environment focused on quality, accuracy, and first-call resolution.
- Comfortable supporting providers or professional office staff through both phone and live chat channels.

Equal Opportunity Employer / Disabled / Protected Veterans

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For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

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We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.