Bilingual Customer Service Representative in Caguas at TPIS

We are looking for customer service agents that can support our Health Insurance Client Company in their PROVIDER's Support department. If you are bilingual, have a proficient level of the use of computers and customer service-driven, this opportunity is for you!

Primary Responsibilities:

• Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
• Provides customer service support to providers through live chat, to give updates on their member's eligibility status or claims status and validates state specific requirements for claims and benefits processing.
• Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller
• Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff
• Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends

Required Qualifications:

• 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• Microsoft and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• Available to work (40 hours/week) Monday- Friday. Flexible to work any of our 8 hour shift schedules during our normal business hours of (8:00am to 9:00pm ATL)
• Bilingual Spanish/English proficiency

Preferred Qualifications:

• Health care experience

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