Health Insurance Support Specialist

MCS Puerto Rico; San Juan (PR); On-site; USD 25,000 - 42,000; Full time

Job summary

MCS Healthcare Holdings, LLC. (MCS) is seeking a Customer Service Representative I – CC to provide excellent service to policyholders, members, and providers via phone.

This role focuses on solving service needs, documenting interactions, and ensuring continuity of services through established call center processes. Candidates should have a degree or credits as specified, with health insurance customer service experience preferred, and flexibility to work rotating shifts including weekends and

Qualifications

• Bachelor’s Degree from an accredited institution.
• At least one year of experience in Customer Service, preferably in a Health Insurance Call Center.
• Sixty (60) college credits, equivalent to two years of study, with at least two years in Customer Service in Health Insurance.
• High School Diploma with at least three years of Customer Service in Health Insurance.
• Knowledge of medical billing is preferable; availability to work rotating shifts, weekends, and holidays.

Responsibilities

• Handles all inbound calls to offer quality service and ensure first call resolution.
• Evaluate, solve, and document situations presented by policyholders, members, and providers.
• Channel concerns according to policy and procedures.
• Utilizes the telephone system and adheres to the schedule to maximize call durations.
• Guarantees established quality and service standards in handling all calls.
• Meet KPIs for productivity, assigned itinerary, quality of service, documentation, and interactions.
• Comply with company policies, local and federal laws, and industry regulations.
• May perform other duties as assigned.

Skills

Customer Service

Call Center

Medical Billing

Spanish (Basic)

English (Basic)

Education

Bachelor’s Degree

60 College Credits

High School Diploma

Job description

MCS Healthcare Holdings, LLC. (MCS) is seeking a Customer Service Representative I – CC to provide excellent service to policyholders, members, and providers via phone.

This role focuses on solving service needs, documenting interactions, and ensuring continuity of services through established call center processes. Candidates should have a degree or credits as specified, with health insurance customer service experience preferred, and flexibility to work rotating shifts including weekends and