BILINGUAL CUSTOMER SERVICE REPRESENTATIVE

TPIS; Caguas (PR); Hybrid; USD 18,000 - 21,000; Full time

Job summary

TPIS is seeking a Bilingual Customer Service Representative to support healthcare providers via inbound calls and live chat. The role handles member eligibility, benefits, claims, billing, and authorizations, requiring professional English/Spanish communication and strong problem-solving in a fast-paced environment.

Responsibilities include scheduling, updating records, verifying eligibility, and maintaining HIPAA-compliant confidentiality while delivering empathetic, quality service.

Qualifications

• Professional proficiency in English and Spanish required.
• Experience in a high-volume call center handling inbound/outbound calls.
• Strong customer service, problem-solving and multitasking abilities.
• Comfort navigating multiple computer systems in real time.

Responsibilities

• Handle inbound and outbound calls to identify patient needs and provide support.
• Schedule, reschedule, confirm, and cancel patient appointments.
• Enter and update patient information in scheduling and systems.
• Verify eligibility and identify payer sources.
• Maintain patient confidentiality per HIPAA and company policies.
• Document interactions and resolutions in systems.
• Build courteous, empathetic, solution-focused service relationships.
• Perform other related duties as assigned.

Skills

Bilingual English/Spanish

High-volume call center

Customer service

Problem solving

Microsoft Office / Google Workspace

Tools

Microsoft Office

Google Workspace

Windows PC systems

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

BILINGUAL CUSTOMER SERVICE REPRESENTATIVE

7 days ago Requisition ID: 2290

Job Overview

Our client in the healthcare industry is seeking a Bilingual Patient Services Representative to assist healthcare providers, including physician offices and clinics, through inbound telephone calls and live chat.

The selected candidate will provide information and support regarding member eligibility, benefits, claims, billing and payments, treatment authorizations, and explanations of benefits. This position requires strong customer service, problem-solving, and computer navigation skills, along with the ability to communicate professionally in English and Spanish.

Job Responsibilities

• Handle inbound and outbound calls to identify patient needs and provide appropriate support.
• Schedule, reschedule, confirm, and cancel patient appointments.
• Accurately enter and update patient information within scheduling and company systems.
• Verify insurance eligibility and identify payer sources.
• Review and update patient demographics, registration information, and consent forms.
• Create new patient accounts when necessary.
• Transfer calls or relay messages to physicians, nurses, and other healthcare staff as appropriate.
• Import and maintain registration documents within electronic health record systems.
• Maintain patient confidentiality in accordance with company policies and HIPAA regulations.
• Research and resolve patient inquiries using available resources and elevate issues when necessary.
• Document all patient interactions, actions taken, and resolutions accurately in company systems.
• Manage customer interactions while maintaining established quality, productivity, and performance standards.
• Build positive relationships through courteous, empathetic, and solution-focused service.
• Perform other related duties as assigned.

Job Requirements

• At least one year of experience in a high-volume call center environment handling inbound and outbound calls, customer inquiries, appointment scheduling, or related customer support activities.
• Demonstrated ability to manage a high volume of calls, multitask effectively, and provide professional and timely resolution to customer concerns.
• Professional proficiency in conversational and written English and Spanish.
• Intermediate or advanced proficiency using Microsoft Office applications, Google Workspace, and Windows PC systems.
• Ability to navigate, learn, and work efficiently across multiple complex computer systems while assisting customers in real time.
• Strong verbal communication, active-listening, customer service, and problem-solving skills with the ability to troubleshoot and follow up on customer issues.
• Ability to work in a fast-paced, metrics-driven call center environment while maintaining quality, productivity, accuracy, and attendance standards.
• Ability to commit to a 40-hour workweek during standard business operating hours, Monday through Sunday, between 7:00 AM and 11:00 PM, including weekends, holidays, and overtime as business needs require.

Required Availability

• Full-time position: 40 hours per week.
• Must be available to work Monday to Sunday.
• Must have flexibility to work any assigned eight-hour shift between 7:00 a.m. and 11:00 p.m. AST.
• Must be available to begin employment on October 26, 2026.
• Must be available to complete 16 weeks of training on site. No vacations are allowed during this period.

Work Model

• Hybrid model may be available after on-site training, 3 days in office 2 days remote.

Compensation

• $13.50 per hour

TPIS is an Equal Opportunity Employer (EEO Employer / Affimitive Action for Women, Individuals with Disabilities, and Veterans). We comply with all applicable federal, state, and local laws regarding nondiscrimination in employment.