Representante de Servicio al Cliente: Soporte de Beneficios

MCS Health; San Juan (PR); On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

None

Job summary

MCS Healthcare Holdings, LLC, doing business as MCS Health, seeks a Customer Service representative to resolve service cases and provide benefit guidance to Classicare beneficiaries. You’ll handle calls from the Healthcare Insurance line, maintain documentation, and collaborate with multiple departments to ensure timely service and program processing.

Candidates should have a related degree (or credits), call center experience in healthcare, and willingness to work weekends/holidays.

Qualifications

• Knowledge of Medical Billing is preferred.
• Availability to work weekends and holidays as required.
• Bilingual Spanish and English communication skills helpful.

Responsibilities

• Receives, analyzes, and evaluates service cases following established procedures.
• Keeps the customer informed with status updates and documentation in the system.
• Contacts beneficiaries with unfavorable satisfaction trends to address issues and improve experience.
• Collaborates with other departments to ensure timely processing of OTC programs and cards.
• Handles inbound and outbound calls, including outbound calls to close the service cycle and update demographics.
• Utilizes ACD states accurately and conducts availability tests for teletypewriter lines.
• Complies with all company policies and industry regulations; performs other duties as assigned.

Education

Bachelor’s Degree

Sixty (60) college credits

Associate’s Degree

High School Diploma

Job description

MCS Healthcare Holdings, LLC, doing business as MCS Health, seeks a Customer Service representative to resolve service cases and provide benefit guidance to Classicare beneficiaries. You’ll handle calls from the Healthcare Insurance line, maintain documentation, and collaborate with multiple departments to ensure timely service and program processing.

Candidates should have a related degree (or credits), call center experience in healthcare, and willingness to work weekends/holidays.