BILINGUAL CUSTOMER SERVICE REPRESENTATIVE REMOTE

Job Posting Title

BILINGUAL CUSTOMER SERVICE REPRESENTATIVE

Job Description

BILINGUAL PROVIDER SERVICES REPRESENTATIVE - CALL CENTER

Job Overview

Our client in the healthcare industry is seeking a Bilingual Provider Services Representative to assist healthcare providers, including physician offices and clinics, through inbound telephone calls and live chat.

The selected candidate will provide information and support regarding member eligibility, benefits, claims, billing and payments, treatment authorizations, and explanations of benefits. This position requires strong customer service, problem-solving, and computer navigation skills, along with the ability to communicate professionally in English and Spanish.

Job Responsibilities

• Answer incoming calls from healthcare providers, including physician offices and clinics.
• Identify each provider's needs and offer assistance related to benefits, eligibility, claims, billing, payments, treatment authorizations, and explanations of benefits.
• Provide customer service support through live chat, including updates regarding member eligibility and claim status.
• Review and validate state-specific requirements related to claims and benefits processing.
• Navigate multiple computer systems and applications to research provider inquiries.
• Focus on resolving questions and concerns during the first interaction whenever possible.
• Deliver clear, accurate, and professional information to providers and their staff.
• Build positive working relationships through courteous and solutions-focused service.
• Document provider inquiries, actions taken, and outcomes accurately in company systems.
• Help identify and report recurring provider concerns and service trends.
• Meet established expectations for service quality, productivity, accuracy, and attendance.
• Perform other related duties as assigned.

Job Requirements

• At least 2 years of experience in a call center, high-volume customer service environment, reception role, or client-facing administrative position where handling inbound calls and assisting customers was a primary responsibility.
• Professional proficiency in conversational English and Spanish.
• Intermediate or advanced proficiency using Microsoft and Windows PC applications.
• Ability to navigate, learn, and work efficiently across multiple complex computer systems while assisting customers in real time.
• Demonstrated ability to manage a high volume of incoming calls, multitask effectively, and provide timely and professional resolution to customer concerns.
• Strong verbal communication, active-listening, customer service, and problem-solving skills.
• Experience interacting professionally with customers, clients, patients, providers, or visitors in a fast-paced service environment.
• Ability to work in a fast-paced call center environment and manage multiple priorities while meeting expectations for quality, productivity, accuracy, and attendance.

Required Availability

• Full-time position: 40 hours per week.
• Must be available to work Monday through Friday.
• Must have flexibility to work any assigned eight-hour shift between 8:00 a.m. and 9:00 p.m. AST.
• Must be available to begin employment on October 26, 2026.
• Must be available to complete 16 weeks of training. No vacations are allowed during this period.

Work Model

• Remote model for all candidates from the WEST SIDE of PR, after first day of onboarding in San Juan. Hybrid model for candidates from the METRO area of PR, 3 days in office 2 days remote.

Compensation

• $13.00 per hour

If you are fully bilingual, have customer service experience in a high-performance or fast-paced environment, and will enjoy helping providers resolve questions related to benefits, eligibility, and claims, we encourage you to apply!

TPIS is an Equal Opportunity Employer (EEO Employer / Affirmative Action for Women, Individuals with Disabilities, and Veterans). We comply with all applicable federal, state, and local laws regarding nondiscrimination in employment.

Monday through Friday

8:00 a.m. and 9:00 p.m.