Call Center Representative - Sign on Bonus $750 - San Juan, PR

Customer Service Representative

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Customer Service Representative is responsible for providing telephonic support to patients, customers, and providers. This role involves handling inbound and outbound calls, scheduling appointments, verifying insurance, and updating patient records. The representative will apply moderate knowledge and skills to resolve routine issues independently and collaborate with supervisors for more complex matters. This position requires solid communication, organizational, and technical skills to ensure high-quality service delivery.

Primary Responsibilities :

Handle inbound and outbound calls to identify patient needs and provide appropriate support

Schedule, reschedule, confirm, and cancel patient appointments

Accurately enter and update patient information in the scheduling system

Verify insurance eligibility and identify payer sources

Review and update patient demographics and consent forms

Create new patient accounts when necessary

Transfer calls or relay messages to physicians and nurses

Import registration documents into electronic health records

Maintain patient confidentiality in accordance with company policies and HIPAA regulations

Resolve caller inquiries using internal resources and escalate when needed

Document all interactions and resolutions accurately

• ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications :

1+ years of customer service experience in a fast-paced environment

Experience with Microsoft Word / Excel or Google Docs / Sheets

Professional proficiency in both English and Spanish

Candidates must be able to commit to a 40-hour workweek during standard business operating hours, Monday through Friday, between 8 : 00 AM and 7 : 00 PM. Please note that this is a 24 / 7 operational environment, and based on business needs, occasional overtime - including weekends, holidays, or shifts outside the stated hours-may be required

Preferred Qualifications :

Experience in medical / dental office or scheduling environment

Familiarity with healthcare terminology and benefit structures

Understanding of HIPAA and other regulatory requirements

Proven ability to learn and navigate complex computer systems

Proven ability to troubleshoot and follow up on customer issues