Healthcare Service Coordinator

MCS Health; San Juan (PR); On-site; USD 32,000 - 42,000; Full time

Job summary

MCS Health in Puerto Rico is seeking a service coordination specialist to distribute and track client cases across medical, pharmacy, and dental services. You will support account executives, respond to eligibility inquiries, and prepare documentation for coverage and COBRA programs.

Ideal candidates have a degree in business or health services and 6–12 months of related coordination experience, with bilingual Spanish/English proficiency.

Qualifications

• Bachelor’s Degree in Business Administration, Health Services Administration, or related field.
• At least 6 months of coordination, clerical, and/or sales duties, preferably in healthcare insurance.
• Associate’s Degree or 60–64 college credits with 1 year of relevant experience.
• High School Diploma or Technical Course with 2+ years of related experience.
• Proven experience may be replaced by previously established requirements.
• Certifications / Licenses: N/A.
• Languages: Spanish – Intermediate; English – Intermediate.

Responsibilities

• Coordinate and assign incoming service cases to account executives by type (medical, pharmacy, dental PA, eligibility, COBRA).
• Ensure uniform distribution of cases among executives and VIP groups.
• Generate and maintain case logs and reports for management.
• Respond to eligibility inquiries by phone or email and review enrollment forms.
• Process medical plan card requests and prepare coverage certification documents.
• Monitor and adjust case assignments based on staffing and volume.
• Validate clinical authorization details and escalate complex cases to management.
• Facilitate in-person document delivery at the lobby upon request.
• Route cases via RightFax and email; support special initiatives as needed.
• Comply with all policies, procedures, laws, and industry regulations.

Skills

Coordination

Clerical work

Sales support

Healthcare insurance

Education

Bachelor’s Degree in Business Administration

Associate’s Degree or 60–64 college credits

High School Diploma or Technical Course

Job description

MCS Health in Puerto Rico is seeking a service coordination specialist to distribute and track client cases across medical, pharmacy, and dental services. You will support account executives, respond to eligibility inquiries, and prepare documentation for coverage and COBRA programs.

Ideal candidates have a degree in business or health services and 6–12 months of related coordination experience, with bilingual Spanish/English proficiency.