Join Our Team as a Health Services Representative!
Are you passionate about helping others and delivering exceptional customer service? We are seeking committed professionals to join our team as a Bilingual Customer Service Representative, playing a key role in the experience of our members and clients.
In this position, you will serve as the first point of contact, providing telephone assistance, resolving inquiries whenever possible during the initial interaction, and ensuring a professional, empathetic, and efficient service experience.
In addition, there are opportunities to provide services to clients in the United States, allowing you to expand your professional experience in a dynamic and international environment.
Key Responsibilities
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Answer member calls and provide clear information regarding their health plans.
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Educate and guide members on health plan coverage, benefits, and promotions (non-clinical matters).
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Accurately document inquiries, interactions, and actions taken while ensuring compliance with company standards.
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Escalate unresolved issues or complaints to supervisors or the appropriate departments.
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Participate in outbound interviews, Contact Center projects, and training programs.
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Maintain confidentiality of information and comply with HIPAA regulations and internal policies.
Requirements
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Minimum of one (1) year of customer service experience.
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High school diploma required (college credits preferred).
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Intermediate to advanced proficiency in computer applications and Microsoft Office.
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Excellent verbal, written, and reading communication skills.
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Fully bilingual in Spanish and English (required).
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Strong customer service orientation, empathy, and proactive attitude.
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Availability to work rotating 8-hour shifts in a 24/7 operation, including weekends and holidays. Shift differentials are provided when applicable.
Benefits
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Specialized training in customer service, healthcare-related topics, and regulatory compliance.
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24/7 telemedicine services.
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Free employee health and wellness programs.
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Opportunities for professional growth and career development.
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Paid leave benefits.
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Retirement plan.
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The opportunity to make a positive impact on the well-being of the community.
Location: On-site in Guaynabo or Mayagüez, Puerto Rico | Hybrid (subject to performance evaluations and operational needs)
Employment Type: Full-time | Temporary (annual renewal based on performance evaluations and operational needs)
We are an Equal Employment Opportunity (EEOC) employer.
