Healthcare Customer Service Representative I

MCS Health; San Juan (PR); On-site; USD 30,000 - 36,000; Full time

Job summary

MCS Healthcare Holdings, LLC is seeking a Customer Service Associate to handle inbound calls from policyholders, members, and providers. The role emphasizes confidentiality, accuracy of documentation, and adherence to HIPAA while delivering high-quality service.

Training will cover call protocols and compliance requirements. Responsibilities include achieving KPIs, supporting continuous improvement, and following all operational policies.

Qualifications

• Bachelor’s Degree or 60 credits or high school diploma with customer service experience.
• Experience in a call center environment preferred in health insurance.
• Proven ability to document interactions accurately and maintain confidentiality.

Responsibilities

• Handle inbound calls and deliver high-quality customer service.
• Adhere to HIPAA and data privacy policies in all interactions.
• Meet KPIs for productivity, schedule adherence, and call quality.
• Document interactions accurately for service continuity and compliance.
• Identify service gaps and participate in continuous improvement.
• Follow scripts and procedures to ensure compliant service delivery.
• Support call center operations and use telephone systems per schedule.
• Comply with all company policies and applicable laws.

Skills

Customer service

HIPAA compliance

Call center operations

Data entry

Education

Bachelor’s Degree

60 college credits

High School Diploma

Job description

MCS Healthcare Holdings, LLC is seeking a Customer Service Associate to handle inbound calls from policyholders, members, and providers. The role emphasizes confidentiality, accuracy of documentation, and adherence to HIPAA while delivering high-quality service.

Training will cover call protocols and compliance requirements. Responsibilities include achieving KPIs, supporting continuous improvement, and following all operational policies.