BILINGUAL PROVIDER SERVICES REPRESENTATIVE - CALL CENTER

TPIS; Caguas (PR); On-site; USD 15,000 - 21,000; Full time

Benefits offered by this job

Temporary-to-hire

Job summary

TPIS in Aguas Buenas, PR is seeking a Bilingual Provider Services Representative to assist healthcare providers through inbound calls and live chat. The role focuses on eligibility, benefits, claims, billing, and explanations of benefits with professional English and Spanish communication.

You will navigate multiple systems, deliver accurate information, and support providers and their staff in a fast-paced environment. On-site, full-time with a 16-week training period and shifts from 8:00 a.m.

Qualifications

• At least one year of customer service experience resolving concerns or in an office environment using the telephone and computer.
• Healthcare experience is required.
• Proficiency in English and Spanish.
• Intermediate or advanced proficiency with Microsoft Windows PC applications.

Responsibilities

• Answer incoming calls from healthcare providers (offices and clinics).
• Identify provider needs and assist with benefits, eligibility, claims, billing, and authorizations.
• Provide customer service through live chat and update on eligibility and claim status.
• Review state-specific requirements related to claims and benefits processing.
• Navigate multiple computer systems to research inquiries.
• Prioritize resolving questions during the first interaction where possible.
• Deliver clear, accurate information to providers and staff.
• Build positive relationships with courteous, solutions-focused service.
• Document inquiries, actions, and outcomes in company systems.
• Identify recurring provider concerns and report trends.
• Meet service quality, productivity, accuracy, and attendance targets.
• Perform related duties as assigned.

Skills

Customer service

Healthcare experience

Bilingual English/Spanish

MS Windows

Tools

Microsoft Windows

Job description

BILINGUAL PROVIDER SERVICES REPRESENTATIVE - CALL CENTER

FULL TIME Aguas Buenas, PR, PR

3 days ago Requisition ID: 2192

Salary: $13.00 Annually

Job Description

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.

This opportunity is ideal for someone with healthcare and customer service experience who enjoys solving problems, navigating multiple systems, and building positive relationships with healthcare providers and their staff.

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.
• Previous healthcare experience is required.
• Professional proficiency in 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 the 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 12, 2026.
• Must be available to complete16 weeks of training.

Work Model

• On-site position.
• Temporary-to-hire opportunity.

Compensation

• $13.00 per hour
• Full-time position
• Multiple openings available

TPIS is an Equal Opportunity Employer (EEO Employer / Aff... etc)

Monday through Friday from 8:00am to 9:00pm