Call Center Representative (Credentialing) - San Juan, PR

UnitedHealth Group; San Juan (PR); On-site; USD 19,000 - 25,000; Full time

Job summary

UnitedHealth Group in San Juan, PR is seeking a Call Center Representative (Credentialing) to support providers with credentialing and contracting updates. The role emphasizes patient-provider interactions, issue resolution, and accurate documentation.

The position requires English proficiency assessment after application and a standard 40-hour work week with scheduled in-office days. Training will cover product details and benefits to ensure confident provider support.

Qualifications

• 1+ years of experience in a related environment (office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools.
• Availability to work 40 hours/week, Monday–Friday. Flexible to work any 8-hour shift during normal business hours 8:00am to 6:00pm ATL. Holidays and overtime may be required.

Responsibilities

• Provides customer service support to providers through live phone call or live chat, giving updates on credentialing or contracting status and validates state-specific requirements.
• Focus on resolving issues on the first interaction, navigating through complex computer systems to identify the status and provide appropriate response.
• Deliver information and answer questions to facilitate solid relationships with providers and maintain rapport.
• Complete the documentation to track provider issues and assist in reporting overall trends.
• Complete outbound calls as needed to resolve cases.
• Other duties or projects may apply.

Skills

Customer service

Phone skills

Windows PC

Scheduling flexibility

Tools

Microsoft Windows

Job description

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Call Center Representative (Credentialing) - San Juan, PR (2396782)

Call Center Representative (Credentialing) - San Juan, PR - 2396782

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

This role is equally challenging and rewarding. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans and levels of benefits available to members and you’ll soon find yourself creating positive experiences and earning the gratitude of callers on an hourly basis.

This position follows an office-based schedule withthree in-office days per week.

Primary Responsibilities:

• Provides customer service support to providers through live phone call or live chat, to give updates on their credentialing status or contracting status and validates state specific requirement
• Focus on resolving issues on the first interaction, navigating through complex computer systems to identify the status of the issue and provide appropriate response to the provider
• Deliver information and answer questions in a positive manner to facilitate solid relationships with providers and continue to establish rapport
• Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
• Complete outbound calls as needed to complete case resolutions
• Other duties or projects may apply

***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• Microsoft and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• Available to work (40 hours/week) Monday- Friday. Flexible to work any of our 8 hour shift schedules during our normal business hours of 8:00am to 6:00pm ATL. It may be necessary, given the business need to work holidays and overtime.

Preferred Qualification:

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.