BILINGUAL CUSTOMER SERVICE REPRESENTATIVE REMOTE

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

Job summary

TPIS is seeking a Bilingual Provider Services Representative to assist healthcare providers through inbound calls and live chat. The role focuses on benefits, eligibility, claims, billing, payments, and treatment authorizations, with professional English and Spanish communication.

You will navigate multiple computer systems, resolve provider inquiries on first contact when possible, document all actions accurately, and maintain high service quality while meeting productivity expectations.

Qualifications

• At least one year of customer service experience or related office experience.
• Professional proficiency in conversational English and Spanish.
• Proficient in Microsoft and Windows PC applications.
• Ability to navigate multiple complex computer systems.
• Strong verbal communication and problem-solving skills.

Responsibilities

• Answer incoming calls from healthcare providers.
• Identify providers' needs and assist with benefits, eligibility, claims, billing, and authorizations.
• Provide customer service via live chat and update on eligibility and claim status.
• Review state-specific requirements for claims and benefits processing.
• Navigate multiple computer systems to research provider inquiries.
• Aim to resolve questions during the first interaction when possible.
• Document inquiries, actions, and outcomes accurately.
• Help identify recurring provider concerns and trends.

Skills

Customer service

Problem solving

Active listening

Verbal communication

Documentation accuracy

Multitasking

Tools

Microsoft Office

Windows PC

CRM 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 REMOTE

2 days ago Requisition ID: 2289

Job Posting Title

BILINGUAL CUSTOMER SERVICE REPRESENTATIVE

Job Description

BILINGUAL PROVIDER SERVICES REPRESENTATIVE - CALL CENTER

Job Overview

Our client in the healthcare industry is seeking a Bilingual Provider 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

• Answer incoming calls from healthcare providers, including physician offices and clinics.
• Identify each provider's needs and offer assistance related to benefits, eligibility, claims, billing, payments, treatment authorizations, and explanations of benefits.
• Provide customer service support through live chat, including updates regarding member eligibility and claim status.
• Review and validate state-specific requirements related to claims and benefits processing.
• Navigate multiple computer systems and applications to research provider inquiries.
• Focus on resolving questions and concerns during the first interaction whenever possible.
• Deliver clear, accurate, and professional information to providers and their staff.
• Build positive working relationships through courteous and solutions-focused service.
• Document provider inquiries, actions taken, and outcomes accurately in company systems.
• Help identify and report recurring provider concerns and service trends.
• Meet established expectations for service quality, productivity, accuracy, and attendance.
• Perform other related duties as assigned.

Job Requirements

• At least one year of customer service experience analyzing and resolving customer concerns; or at least one year of experience in an office, administrative, or clerical environment using the telephone and computer as primary work tools.
• Professional proficiency in conversational English and Spanish.
• Intermediate or advanced proficiency using Microsoft and Windows PC applications.
• Ability to navigate, learn, and work efficiently across multiple complex computer systems.
• Strong verbal communication, active-listening, and problem-solving skills.
• Ability to explain information clearly and professionally to healthcare providers.
• Strong attention to detail and ability to document information accurately.
• Ability to work in a fast-paced call center environment and manage multiple priorities.

Required Availability

• Full-time position: 40 hours per week.
• Must be available to work Monday through Friday.
• Must have flexibility to work any assigned eight-hour shift between 8:00 a.m. and 9:00 p.m. AST.
• Must be available to begin employment on October 26, 2026.
• Must be available to complete 16 weeks of training. No vacations allowed during this period.

Work Model

• Remote model after first day of onboarding in San Juan.

Compensation

• $13.00 per hour

TPIS is an Equal Opportunity Employer (EEO Employer / Aff... ). We comply with all applicable federal, state, and local laws regarding nondiscrimination in employment.