TPIS-Temporary Professional Integrated Services is a staffing and recruiting agency founded in 2005, with more than 16 years of experience connecting qualified candidates with employers across consulting, healthcare, automotive, banking, telecommunications, legal services, and call center operations. Its work spans recruitment, temporary and regular hiring, consulting, training, talent management, and operational support.
Bilingual Healthcare Customer Service Representative - San Juan Hybrid
Support healthcare providers with benefits, eligibility, claims, billing, authorizations, and payment inquiries. Provide assistance by phone and live chat for a healthcare services client.
Description
- Handle inbound calls from healthcare providers, including physician offices and clinics.
- Assess provider needs and assist with benefits, eligibility, claims, billing, payments, treatment authorizations, and explanations of benefits.
- Support providers through live chat with member eligibility and claim-status updates.
- Review and verify state-specific requirements for claims and benefits processing.
- Use multiple computer systems and applications to investigate provider inquiries.
- Resolve questions and concerns during the initial interaction whenever possible.
- Provide providers and their staff with clear, accurate, and professional information.
- Develop positive provider relationships through courteous, solutions-oriented service.
- Accurately record provider inquiries, actions, and outcomes in company systems.
- Recognize and report recurring provider issues and service trends.
- Meet defined standards for service quality, productivity, accuracy, and attendance.
- Complete other related duties as assigned.
Requirements
- One year of customer service experience analyzing and resolving customer concerns, or one year of office, administrative, or clerical experience using telephones and computers as primary work tools.
- Professional conversational fluency in English and Spanish.
- Intermediate or advanced ability with Microsoft and Windows PC applications.
- Ability to learn, navigate, and work efficiently across multiple complex computer systems.
- Strong verbal communication, active listening, and problem-solving abilities.
- Ability to explain information clearly and professionally to healthcare providers.
- Careful attention to detail and accurate documentation skills.
- Ability to work in a fast-paced call center while managing multiple priorities.
- Availability to work Monday through Friday.
- Flexibility to work any assigned eight-hour shift between 8:00 a.m. and 9:00 p.m. AST.
- Availability to start employment on October 26, 2026.
- Availability to complete 16 weeks of training.
- No vacation availability during the training period.
Benefits
- Full-time employment.
- Remote work after the first day of onboarding in San Juan.
- Sixteen weeks of training.
- Equal opportunity employer protections.