Customer support representative jobs in Carolina, PR - 111 jobs

What you'll do In a few words… Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… Our Operational Performance team is #All-In on centralizing data to dive through and study as they work on improving operations at Abarca. The Performance Monitoring team has the metrics tracking down from OKRs to KPIs and proactively manages shortfalls to ensure we continuously set and reach the highest standards. That's why performance is part of their name as they help drive both scalability and efficiency across the board! As our Service Level Analyst, you will play a critical role in monitoring, analyzing, and reporting on service level agreements (SLAs) to ensure the organization meets its commitments to customers and clients. This role involves data analysis, reporting, and collaboration with various teams to maintain high service quality and customer satisfaction. Track and validate that Performance Guarantee (PG) reports are produced for each customer service area in partnership with operational teams, document overall SLA compliance by client and business area. Analyze performance data to identify trends, gaps, and risks; synthesize insights into actionable recommendations for PG owners and leadership. Perform gap analysis to highlight SLA breaches, investigate root causes, and recommend improvement actions in collaboration with PG owners and the Performance Oversight team. Initiate and support Improvement Action Plans when criteria are met; monitor completion and measure results. Conduct periodic process audits to ensure accuracy of reporting methodology and compliance with contractual requirements. Monitor adherence to client SLAs by reviewing documentation from operations and technology teams; escalate risks as needed. Generate and present regular reports on service performance and SLA attainment to internal stakeholders and all levels of leadership committees. Maintain accurate records of SLAs, service metrics, and performance data; ensure documentation is current and accessible. Assist in implementing service improvement initiatives and projects in collaboration with operational teams. Prepare and deliver necessary data and insights for the Performance Guarantee Committee and other leadership forums. What we expect of you The bold requirements… Bachelor's or Master's Degree in Business Administration, Science, or related field (In lieu of a degree, equivalent relevant experience may be considered.) Experience collaborating with cross-functional teams to implement service improvement initiatives. 3+ years of experience in contract and vendor management, corporate affairs, and/or related fields. Expertise in project planning, data management, data analysis, and reporting. Proficiency in Excel for reporting and business analytics. Excellent oral and written communication skills, including the ability to present insights to all levels of leadership. We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only) Nice to haves... Experience with the Healthcare, Pharmacy, and Pharmacy Benefit Management industries, Medicare Part D, and CMS regulations. Knowledge of contractual performance standards and exclusion interpretation. Previous experience in SLA or Performance Guarantee monitoring within a PBM or healthcare environment. Familiarity with client performance reporting and governance processes. Experience presenting performance insights to senior leadership or client-facing audiences. Experience with SQL Queries, Power BI, Microsoft Visio, and other visual documentation or analytics tools. Physical Requirements Must be able to access and navigate each department at the organization's facilities. Sedentary work that primarily involves sitting/standing. At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca's workforce reflects the communities it serves. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify. “Applicant must be a United States' citizen. Abarca Health LLC does not sponsor employment visas at this time” The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It's simply meant to give readers an idea of what the role entails. #LI-JD1 #LI-HYBRID

**_What Data Management and Governance contributes to Cardinal Health_** The Data & Analytics Function oversees the analytics life-cycle in order to identify, analyze and present relevant insights that drive business decisions and anticipate opportunities to achieve a competitive advantage. This function manages analytic data platforms, the access, design and implementation of reporting/business intelligence solutions, and the application of advanced quantitative modeling. Data Management and Governance provides direction of data assets and is responsible for data strategy, quality, standards and service levels. Data management acquires, validates, standardizes, enriches, protects and publishes structured, third party and unstructured data for use by the business. Governance defines and implements policies, standards and metrics that ensure the effective and efficient use of trusted data and statistical models to support regulatory and business goals. **_Accountabilities in this role_** + Serves as a trusted resource for broad and deep Customer Master Data subject matter expertise in the context of developing new business processes and technology solutions + Leverage skills to drive efficiencies for Cardinal Health related to the understanding, review, extraction, correction, or provision of Master Data to consumers of Master data. + Will be an expert consulting on data integrity related to customers and how information flows between teams and systems to drive decisions + Consults directly on data-driven solutions for gaps in visibility & enabling proper reporting + Work with cross-functional partners across our highly matrixed organization to understand both upstream inputs to, and downstream impact of, current and future customer master data processes + Able to capture and communicate clearly how the work being done brings value to Cardinal Health and its customers + Other duties as assigned **Proficiencies desired:** + Ability to comfortably and confidently manipulate large-volume data sets to extract insights and drive action + Ability to write complex SQL queries, understand database schemas, and optimize performance for data extraction and manipulation + Demonstrated ability to develop, implement, and maintain data automation workflows using Python. + Experience with relevant Python libraries for database interaction (e.g., SQLAlchemy, Psycopg2), data manipulation (e.g., Pandas), and API integrations + Ability to analyze complex data problems, design efficient solutions, and troubleshoot automation workflows. + Proficiency in data ingestion procedures + Understanding of data layering concepts within a database + Proven ability to build and manage data automation and reporting solutions using open-source tools and programming languages, minimizing reliance on proprietary software + Ability to explain complex work in a way that will resonate with partners regardless of technical acumen. + Experience with process improvement methodologies + Proficiency in stakeholder management + Ability to create clear process and automation documentation + Ability to advise in strategic business initiatives on the requirements from Customer Master Data to protect or improve customer experience or efficiency of service + Ability to build and maintain positive relationships with many functional partners and stakeholders + Ability to comfortably and confidently consult on risk to service levels resulting from new process(es), in or outside our team **Familiarity with these is helpful:** + Understanding business concepts as they apply to various Cardinal Health functions and providing expertise on how Customer Master Data contributes to those functions + Experience working with Data Governance to identify opportunities for data cleanup that may deteriorate our ability to provide effective service efficiently + Experience as a leader, formally or informally, including direct or influential leadership + Familiarity with data visualization techniques and tools + Familiarity with Artificial Intelligence concepts and their practical application in the business + Understanding of data governance, quality, and remediation procedures + Familiarity with various factions of medical services or administration and their customers in the medical industry (Labs, 3rd party billers, nursing services, management services, GPOs, RPCs etc.) + Experience pursuing enhancements and defects for technology solutions (SAP, IBM, SFDC, etc.) + Understanding of contracts, liability, and risk mitigation + Familiarity with standard accounting practices + Knowledge of data standardization and classification + Adaptability to an ever-changing market **Qualifications** + 3-5 years of industry experience preferred + Process oriented, with experience in process mapping + Effective communication and facilitation skills to collaborate across various teams and leadership + Strong knowledge of Cardinal Heath business processes and systems preferred + Ability to manage multiple priorities and meet deadlines + Personal courage and resiliency + Self-driven and eager to learn + Trusted to do the right thing **_What is expected of you and others at this level_** + Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects + May contribute to the development of policies and procedures + Works on complex projects of large scope + Develops technical solutions to a wide range of difficult problems + Solutions are innovative and consistent with organization objectives + Completes work; independently receives general guidance on new projects + Work reviewed for purpose of meeting objectives + May act as a mentor to less experienced colleagues **Anticipated salary range:** $80,900 - $103,950 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 1/20/2026 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

Job Description Department Operational Location 342 San Luis St., Suite 304, San Juan, PR 00920 Position Customer Service Representative Reports to German Muñoz Title Director of operations Position type: Full time Part time Contract In house Shift hours: 40 weekly Operating: Monday to Sunday, rotating shifts Extent No extent General purpose The customer service representative will act as a link, providing information about the services or product and will channel any request or problem that requires attention, providing the corresponding guidance. Among the qualities of the representative, the main one is to help the client with patience in an empathic way, maintaining their ability to have control of the call and efficiently communicate the information. The objective is to guarantee quality service, respond effectively to customer inquiries and maintain high customer satisfaction. Manage incoming calls and customer service inquiries. Identify and evaluate the needs of customers to achieve their satisfaction. RESPONSIBILITIES AND COMPETENCES Manage a large number of incoming calls. Identify and evaluate the needs of customers to achieve their satisfaction. Provide accurate, valid and complete information. Comply with the level of service and productivity goals established by the campaign / company for which the calls are being answered. Maintain quality and productivity in accordance with the provisions of the Company. Inform your immediate supervisor of any situation that arises, both customers and employees that may affect the proper functioning of the company. Correctly register the information in the contact system. Follow communication procedures, guidelines and policies. Any other task designated by your supervisor or immediate manager, not limited to the aforementioned. WORK EXPERIENCE REQUIREMENTS Minimum of 6 months of demonstrable customer service experience or experience as a customer service representative. Great capacities to maintain telephone contact and for active listening. Customer orientation and ability to adapt / respond to different types of personalities. Knowledge and domain with computerized equipment. Excellent in keyboard handling and data entry. Trained to work under pressure and able to respond to high volume of work. Ability to work in a team. Excellent verbal and written communication skills. Good diction. Availability of schedules and rotating shifts. Possess high professionalism and ability to deal with clients and colleagues. Academic requirements Post-Secondary Studies (Associate Degree or equivalent, preferably in Business Administration) DEMANDS I work seated for approximately 7 to 8 hours to be able to successfully fulfill its essential functions. Exposed to use of computerized equipment at all times to perform its functions. Vision, speaking and listening are required to perform their functions and capable of being understood. Be available to work overtime in cases of operational need that may be required. APPROVED by Maria Miranda De Jesús Title HR & Finance Director Employee sing Date Affirmative Action Plan Statement / Equal Employment Opportunity Insight Communications, Corp. offers equal employment opportunity to all employees and job applicants and prohibits discrimination and harassment of any kind without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruitment, hiring, placement, promotion, termination, firing, retirement, transfer, absence, compensation, and training. Insight Communications, Corp. 342 San Luis St., Suite 304, San Juan, PR 00920 Tels. ************, ************, ************ Fax. ************ Monday to Sunday, rotating hours. 40 hours per week

Arival Bank International Corp. is a US-based digital bank licensed and regulated by OCIF. After obtaining our US-based banking license at the beginning of 2021, we officially went live in June 2021 and have onboarded 650+ B2B customers from over 60+ countries. Equipped with forward-thinking compliance, Arival is on a mission to become the go-to digital bank for corporate and institutional clients all over the world. We're actively growing our international team with offices in Puerto Rico, Europe, and Singapore, with over 60+ employees, and building many departments from the ground up. JOB SUMMARY:The EVERYDAY TASKS:Interacts frequently across different teams to discuss complex topics and issues to improve the customer experience. Establishes periodic interactions with customers on the waiting list. Builds strong social connections, feedback mechanisms, and communication lines between customers & Arival. Partners with cross-functional stakeholders to understand customer-impacting initiatives. Identifies opportunities to improve efficiency of CX operations through processes and tools. Demonstrates excellent business analytics to perform root cause analysis activities. Utilizes social media platforms in reaching out to customers to help resolve issues and provide quick response to inquiries. Conducts studies and research to discover new techniques necessary for improving customer experience. Attends seminars, workshops, and conferences to improve on existing job knowledge. DESIRED QUALIFICATIONS:Bachelor's degree in business or related field is required. English language proficiency is required. At least 1-3 years of related experience in a similar role, preferably in a digital banking or fintech space. Excellent people skills, with an ability to partner with a dynamic leadership team. Possess personal qualities of integrity, credibility, and commitment to corporate mission. Flexible and able to multitask; can work within an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities and guiding investment in people and systems. Ability to work and make decisions independently as well as collaborate effectively as part of a wider team. BENEFITS - WHAT'S IN IT FOR YOU?Enjoy a highly diverse and international culture An opportunity to build the future and freedom to work wherever you want Fair pay, no matter where you live along with a competitive benefits package Computer setup of your choice Generous paid time off to relax and recharge

Position Title: Customer Care Representative - Bilingual (English/Spanish) (Hybrid) and Customer Care Representative Location: Hybrid: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Training will be onsite from Monday-Friday 8am-5pm or 9am-6pm A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans. The Customer Care Representative is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. How you will make an impact: * Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. * Analyzes problems and provides information/solutions. * Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database. * Thoroughly documents inquiry outcomes for accurate tracking and analysis. * Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. * Researches and analyzes data to address operational challenges and customer service issues. Provides external and internal customers with requested information. * Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature. * Uses computerized systems for tracking, information gathering and troubleshooting. Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims. Seeks, understands and responds to the needs and expectations of internal and external customers. Minimum Requirements - Customer Care Representative - Bilingual (English/Spanish) * Requires a HS diploma or equivalent * Previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background. * Bilingual (Spanish/English) or multi-language skills. Must be able to pass a validated language test/assessment. Customer Care Representative * CCRI - Requires a HS diploma or equivalent and previous experience or any combination of education and experience which would provide an equivalent background. Preferred Requirements * Full availability to work an 8-hour shift 7am - 11pm EST Mon. - Saturday. preferred. * Automated Customer Service experience preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

**Become a part of our caring community and help us put health first** As a Clinical Care Oversight Professional, you will provide clinical support to the assessment and evaluation of patients' needs and requirements to achieve and/or maintain optional wellness. Your work assignments are often straightforward and of moderate complexity. As a Clinical Care Oversight Professional, you will support a member's optimal wellness state by recommending members/families toward and facilitate the interaction with resources appropriate for the care and wellbeing of patients. You understand your own work area professional concepts/standards, regulations, strategies, and operating standards. You will make decisions regarding your own work approach/priorities and follow direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. **Use your skills to make an impact** **Required qualifications:** + Minimum required education: LPN/PTA/OTA licensed in Florida with no disciplinary action. LPN candidates with multistate compact license can also be considered. + Ability to work independently under general instructions and with a team + Ability to clinically assess, plan, and advocate for patient's health needs + Ability to speak clearly and concisely + Ability to document calls and interaction by typing on a keyboard while speaking to a patient on the phone + Deliver care that exemplifies CenterWell Home Health's commitment to achieving 5-STAR quality, improved patient outcomes, and value-based care, in alignment with our mission to provide compassionate, personalized healthcare. **Preferred qualifications:** + A minimum of 1-2 years related work experience in Home Health + Experience with HomeCare HomeBase (HCHB) and/or PointClickCare Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $41,900 - $56,600 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-22-2026 **About us** About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Salary: $13.50 per hour The Customer Care & Operations Coordinator is responsible for managing service requests received via phone or email, ensuring timely coordination of technical support, accurate documentation, and high-quality customer service. This role requires strong organizational skills, attention to detail, and the ability to multitask in a dynamic environment. Key Duties and Responsibilities: Coordinate and assign service requests in Salesforce, ensuring accurate entry of client and equipment information. Prepare service quotes, verify warranty coverage, and process approved requests through the finance department. Schedule technicians according to availability, training, and client location. Monitor service progress and confirm closure in Salesforce and Acumatica systems. Generate invoices, verify tax accuracy, and ensure proper delivery to clients. Maintain updated equipment records, preventive maintenance schedules, and service documentation. Assist with customer communications, service scheduling, and coordination of demos, installations, and recalls. Support warranty claims, parts requests, and purchasing follow-up with suppliers and internal departments. Coordinate logistics for conventions, trainings, and internal projects as assigned. Provide administrative and clerical support to ensure department operations run efficiently. Promote continuous improvement and adherence to company quality and customer service standards. Requirements: Associate degree, technical certification, or two years of college-level studies. Minimum one (1) year of experience in customer service, coordination, or administrative support. Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook). Experience using Salesforce, Acumatica or similar platforms. Strong written and verbal communication skills in English and Spanish. Excellent organizational, multitasking, and problem-solving abilities. Ability to prioritize tasks, meet deadlines, and work independently with minimal supervision. Team-oriented mindset and professional demeanor under pressure. Flexibility to work extended hours or irregular schedules when required. Equal Employment Opportunity Employer.

Job Description A Call Center Representative maintains customer databases, fields customer calls, and resolves problems.

Interacts with customers via telephone, email and online chat to provide support and information on products or services Respond to incoming calls and messages in a timely manner Identify customer questions, complaints, concerns and overall needs and redirect to appropriate staff Generate leads for sales team by screening​ callers and identifying potential sales opportunities Meet or exceed call quotas and sales assist quotas, both personally and as a team Follow all communication procedures, policies and guidelines during every customer interaction Other duties as assigned Requirements Excellent verbal and written communication skills Ability to multitask Proficient computer skills Ability to work in a fast paced environment Working in a team environment Benefits Paid Time Off ProSolar will contribute 50% of healthcare premiums for employee "}}],"is Mobile":false,"iframe":"true","job Type":"Full time","apply Name":"Apply Now","zsoid":"695094439","FontFamily":"PuviRegular","job OtherDetails":[{"field Label":"Industry","uitype":2,"value":"Customer Service"},{"field Label":"City","uitype":1,"value":"San juan"},{"field Label":"State\/Province","uitype":1,"value":"Florida"},{"field Label":"Zip\/Postal Code","uitype":1,"value":"00936"}],"header Name":"Call Center Representative","widget Id":"5**********0072311","is JobBoard":"false","user Id":"5**********0611003","attach Arr":[],"custom Template":"3","is CandidateLoginEnabled":true,"job Id":"5**********7302089","FontSize":"15","location":"San juan","embedsource":"CareerSite","indeed CallBackUrl":"https:\/\/recruit.zoho.com\/recruit\/JBApplyAuth.do","logo Id":"6axsz9c0875dc492b4426b3232ca0b5a907de"}

The Customer Service Representative is responsible for assisting customers and prospects with information about the company's products and services. They address and clarify any questions from beneficiaries who have concerns. Resolves service needs by following established operational processes and service guidelines and documents the services provided to ensure the continuity of offerings by the Service Center. ESSENTIAL FUNCTIONS: Handles and resolves service requests from customers and prospects, including inquiries about the eligibility of policyholders and dependents, cancellation letters, changes to Independent Practice Associations (IPAs) and Primary Care Physicians (PCPs), issuance of duplicate cards, coverage certifications, beneficiary value programs, utility collections, premium collections, and reimbursement requests, among others. Prepares coverage certifications and letters of non-covered services, among others, according to the policyholder's request. Maintains updated the database regarding policyholder demographics information in the systems. Registers visitors in the system and evaluates each member's service situation before interaction to identify areas that need improvement and to determine the appropriate course of action, adhering to established standards such as wait times, service quality, transaction accuracy, and error rates. Logs cases in the system or applications, works the cases received through the Customer Relationship Management (CRM) case referral tool, keeps customers informed of the status, and notifies them of the outcome of the request. Documents in the system the steps taken to complete the service cycle complying with documentation parameters and preparing transaction reports. Handles calls from the Call Center of the company's different lines of business received from members who have questions, concerns, or discomfort about complex situations regarding benefits, processes, and coverage, among others. Ensures that any service cycle is completed for calls that could not be resolved during the first contact or for which there was a commitment to follow up with the customer. Refers to the corresponding unit the complaints received from policyholders, following the established protocol. Receives, documents, solves, and/or channels service requests from other departments to support customer retention, ensuring a response is received. Support other departments by completing Health Risk Assessment (HRA) calls. JOB REQUIREMENTS: Education and Experience: High School Diploma. At least three (3) years of experience working in Customer Service areas, preferably in a Call Center in the Health Insurance Industry. Languages: Spanish - Intermediate (comprehensive, writing and verbal) English - Intermediate (comprehensive, writing and verbal) Availability: Availability to work Monday through Satruday, rotating schedules. Salary: $12.00PH TPIS is an employer with equal opportunity in employment and take Affirmative Action to recruit Women, Minorities, Protected Veterans, and Persons with Disabilities.

The Pharmacy Help Desk Call Center Representative reports to the Pharmacy Help Desk Call Center Supervisor and is responsible to provide a customer service by telephone of incoming and outbound calls to providers, beneficiaries and pharmacies. ESSENTIALS ROLES AND RESPONSIBILITIES Answer incoming pharmacy calls regarding issues related to a claim transaction, reimbursement, payment, and other required information in accordance with PharmPix Pharmacy Help Desk Call Center performance metrics. Answer incoming providers' and beneficiaries' calls following Call Center scripts, in a timely matter and in accordance with PharmPix call center performance metrics. Answer incoming calls and perform outbound calls according to HIPAA and Pharmacy Laws Standards. Identify pharmacies, providers and beneficiaries needs, clarify information, research every issue and providing solutions. Document all inquiries in the Customer Service Management Applications such as, Service Desk, OneArk and email. Route the case to the corresponding internal department or the appropriate Health Insurance Carrier. Guide pharmacies, providers and beneficiaries regarding the process of claim transmission, reimbursement and payment. Constantly monitors the BACMAN Alert Application to ensure proper management of rejections at point of sale. Evaluate on an individual basis to determine if the patient meets the criteria for a coverage determination for alerts such as DURs (Drug Utilization Reviews), HMO (Health Maintenance Organization) among other rejections evaluations required by business. Identify system issues and route to the corresponding internal department. Make outbound calls to pharmacies, providers and beneficiaries if necessary. Support all Quality Management Program initiatives. Perform Special projects and/or other duties assigned by the Operations Manager and or Pharmacy Help Desk Call Center Supervisor. TRAINING & EDUCATION Pharmacy Technician, Technical or Associate Degree LICENSURE / CERTIFICATION Puerto Rico Board of Pharmacy Technician Registry Certificate (CPhT), or prospect. PROFESSIONAL EXPERIENCE 1 - 2-year customer service or call center experience and healthcare environment (Preferable). PROFESSIONAL COMPETENCIES Knowledge: Fully Bilingual (Spanish / English written and verbal). PC skills (Microsoft System)/System oriented. Skills: Strong customer service skills. Excellent phone, written, active listening and follow-through skills. Skill in analyzing situations accurately and taking effective action. Attention to details. Time Management Skills: Establishing priorities and accomplishing tasks in a timely manner. Ability to work with others to reach a solution. Be able to toggle between several software programs. Demonstrated effective organizational skills. Abilities: Able to effectively interact with internal departments, PharmPix clients, members and other healthcare professionals. Ability to work with others to reach a solution. Be able to toggle between several software programs. Ability to work in a fast-paced environment and multitask. PHYSICAL AND MENTAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear, sitting, standing and walking. The position requires that weight be lifted and force be exerted up to 25 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ENVIRONMENTAL AND WORKING CONDITIONS This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. Require evening or weekend work. PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans

The Pharmacy Help Desk Call Center Representative reports to the Pharmacy Help Desk Call Center Supervisor and is responsible to provide a customer service by telephone of incoming and outbound calls to providers, beneficiaries and pharmacies. ESSENTIALS ROLES AND RESPONSIBILITIES Answer incoming pharmacy calls regarding issues related to a claim transaction, reimbursement, payment, and other required information in accordance with PharmPix Pharmacy Help Desk Call Center performance metrics. Answer incoming providers' and beneficiaries' calls following Call Center scripts, in a timely matter and in accordance with PharmPix call center performance metrics. Answer incoming calls and perform outbound calls according to HIPAA and Pharmacy Laws Standards. Identify pharmacies, providers and beneficiaries needs, clarify information, research every issue and providing solutions. Document all inquiries in the Customer Service Management Applications such as, Service Desk, OneArk and email. Route the case to the corresponding internal department or the appropriate Health Insurance Carrier. Guide pharmacies, providers and beneficiaries regarding the process of claim transmission, reimbursement and payment. Constantly monitors the BACMAN Alert Application to ensure proper management of rejections at point of sale. Evaluate on an individual basis to determine if the patient meets the criteria for a coverage determination for alerts such as DURs (Drug Utilization Reviews), HMO (Health Maintenance Organization) among other rejections evaluations required by business. Identify system issues and route to the corresponding internal department. Make outbound calls to pharmacies, providers and beneficiaries if necessary. Support all Quality Management Program initiatives. Perform Special projects and/or other duties assigned by the Operations Manager and or Pharmacy Help Desk Call Center Supervisor. TRAINING & EDUCATION Pharmacy Technician, Technical or Associate Degree LICENSURE / CERTIFICATION Puerto Rico Board of Pharmacy Technician Registry Certificate (CPhT), or prospect. PROFESSIONAL EXPERIENCE 1 - 2-year customer service or call center experience and healthcare environment (Preferable). PROFESSIONAL COMPETENCIES Knowledge: Fully Bilingual (Spanish / English written and verbal). PC skills (Microsoft System)/System oriented. Skills: Strong customer service skills. Excellent phone, written, active listening and follow-through skills. Skill in analyzing situations accurately and taking effective action. Attention to details. Time Management Skills: Establishing priorities and accomplishing tasks in a timely manner. Ability to work with others to reach a solution. Be able to toggle between several software programs. Demonstrated effective organizational skills. Abilities: Able to effectively interact with internal departments, PharmPix clients, members and other healthcare professionals. Ability to work with others to reach a solution. Be able to toggle between several software programs. Ability to work in a fast-paced environment and multitask. PHYSICAL AND MENTAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear, sitting, standing and walking. The position requires that weight be lifted and force be exerted up to 25 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ENVIRONMENTAL AND WORKING CONDITIONS This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. Require evening or weekend work. PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans

Under close supervision, the Customer Service Representative is responsible for accurately fulfilling customer orders and managing incoming customer calls. • Responds to basic customer inquires regarding products, provides quotes, and handles order entry. • Places customer orders via telephone, fax, email, electronic methods, or walk in (counter sales). • Influences Motion Industries' gross profit through negotiating the sale price and purchase price, within certain parameters. • May adjust non-contract customer pricing to meet the demands of the customer based on competition, while maximizing the profit for Motion Industries. • Builds customer relationships to drive repeat business by relating to the customer and drive process improvements. • Orders items to ensure appropriate inventory levels are maintained for customers. • May place orders without approval for orders up to $5,000 per line and $10,000 per purchase order. • Responsible for sourcing products in branch inventory, distribution center inventory or supplier inventory. • Determines the most cost effective shipping method for customer orders. • Partners with Account Representatives to ensure customer satisfaction. • Expedites backorders. May pull inventory and prepare order for shipment to customer. • May handle customer returns. • Performs other duties as assigned. EDUCATION & EXPERIENCE: Typically requires a high school diploma or GED and zero (0) to three (3) years of related experience or an equivalent combination. KNOWLEDGE, SKILLS, ABILITIES: • Reliability, organization, and attention to detail required. • Strong communication skills including written, verbal, and listening. • Ability to multi-task and time management skills required. • Moderate computer skills, including information processing, communicating internally and externally via email, using business systems and searching capabilities to find products on the internet. • Product knowledge is preferred. COMPANY INFORMATION: Motion Industries offers an excellent benefits package which includes options for healthcare coverage, 401(k), tuition, reimbursement, vacation, sick, and holiday pay. Not the right fit? Let us know you're interested in a future opportunity by joining our Talent Community on jobs.genpt.com or create an account to set up email alerts as new job postings become available that meet your interest! GPC conducts its business without regard to sex, race, creed, color, religion, marital status, national origin, citizenship status, age, pregnancy, sexual orientation, gender identity or expression, genetic information, disability, military status, status as a veteran, or any other protected characteristic. GPC's policy is to recruit, hire, train, promote, assign, transfer and terminate employees based on their own ability, achievement, experience and conduct and other legitimate business reasons.

As a Customer Service Representative , you will be responsible for providing telephone guidance to clients and/or insured members, according to their requests and needs, ensuring first-contact resolution. You will play a key role in the service experience by offering professionalism, courtesy, and excellence. Essential Duties: Communicates with members by phone to provide information about their respective health insurance plan services. Offers guidance, support, and educational services on non-clinical matters related to the different plan coverages and promotions. Manages incoming calls and refers them to the appropriate resources based on the member's specific needs. Documents and records transactions, including details of inquiries and actions taken. Refers unresolved customer complaints to a supervisor or designated departments for further investigation. Supports other Contact Center projects. Conducts outbound phone interviews with members regarding services, satisfaction levels, and follow-up activities. Participates in training and development sessions. Ensures confidentiality and compliance with all applicable state and federal health call center regulations, including HIPAA and internal policies for handling confidential information. Immediately reports any Protected Health Information (PHI) exposure to the supervisor. Complies with core and functional trainings, as well as all procedures established by regulatory agencies, contractual requirements, and applicable certification standards (including but not limited to URAC). Requirements: Minimum of one (1) year of experience in Customer Service. Completed high school and/or university credits (preferred). Advanced knowledge of computer applications and/or Microsoft Office. Strong customer service orientation and commitment. Excellent verbal and written communication skills. Fast documentation and internet navigation skills. Availability for rotating shifts (including weekends/holidays), Monday to Sunday from 7:00 a.m. to 7:00 p.m. What are the benefits of joining our team as a Health Services Representative? Training in service, regulatory aspects, and healthcare. 24/7 Telemedicine service. Free employee health and wellness programs. Opportunities for growth and development. Contributing to the health and well-being of the population. Paid leave benefits. Position Type: Full-time or Part Time Work Location: Hybrid on site in Guaynabo, PR EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER (EEOC)

We are an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities. Attends all call types - from order status, billing balances and/or repair status. To create and maintain service documentations for a new service request, claim or technical situations using the systems assigned by the company. Orientation for a new services or rates plans. Perform outgoing calls to confirm completed service and repairs orders. Promote and develop the VISION of the company within the group. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. In charge of handling all external and internal Customer issues related to service via telephone calls, email or fax, analyze them using the operations systems and to reply any request with a time frame of 30 to 60 seconds. Maintain an average call monitoring percentage of no less than 85% (Satisfactory). Responsible to refer any situation to the right area/department using the operations systems provided. In charge to manage in excellence all the Customer calls following the VISION of the Company. Responsible of handling the assigned duties and follow the ongoing process according to the rules and procedures established in the Operations Department. Assist the Customer in billing, collections request, services orientation, order status. Handle customer calls of repairs, but not limited to, POTS, and SF services. Complete basic troubleshooting for POTS services. Responsible to realize outgoing calls to confirm service for repairs and service orders completed, provide status and testing. Responsible of reporting and escalating to the Specialist, Supervisor or Manager any unusual situation with the service identified while communicating and helping the Customer. Responsible of updating on a daily basis all the operations systems and related departments with the corresponding information and actions taken in a short, detailed and clear manner to facilitate reading and understanding. Responsible of processing investigations or special projects required by the Supervisor in the time frame indicated. Responsible of keeping the Call Center Area well attended all the time including supporting the team task when another customer representative is out of the office. Assist in training and orientation of the new employees. Support and inform other area/departments regarding the services issues. Performs all other duties as required. SUPERVISORY RESPONSIBILITIES This Job has no supervisory responsibilities QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE Associates Degree and two years of call center/ customer service experience and/or training or equivalent combination of education and experience. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Performing the duties of this job requires the employee to sit, stand, and bend, and a normal range of hearing and vision. We are an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities.

Customer Service Representative (Bilingual - English/Spanish) | Arecibo, Puerto Rico Clearance Requirement: Must successfully pass a federal background check with fingerprinting Work Authorization: U.S. Citizenship required 3500 Square LLC is seeking dedicated and bilingual Customer Service Representatives to join our on-site call center team in Arecibo, Puerto Rico. In this role, you will provide support to U.S. veterans by handling inbound calls, guiding them through processes, and ensuring they receive accurate information and assistance. This is a fast-paced, production-driven environment where strong communication, keyboarding accuracy, and multitasking skills are essential. Key Responsibilities Handle a high volume of inbound calls from veterans, providing clear guidance in English and Spanish. Accurately document call details and process service requests in company systems. Meet productivity and quality metrics (call handling, accuracy, timeliness). Maintain confidentiality and adhere to all compliance and security standards. Work collaboratively with supervisors and team members to ensure excellent customer experience. Schedule Second Shift: 11:00 a.m. - 8:00 p.m. (local PR time) Daylight Saving Adjustment: 12:00 p.m. - 9:00 p.m. (local PR time) Minimum Qualifications U.S. Citizen with ability to successfully pass a federal background check with fingerprinting. High School Diploma or equivalent required; Associate's degree preferred. Fully bilingual (English/Spanish) - must speak, read, and write fluently in both languages. Strong typing/keyboard skills and proficiency with Microsoft Office (Word, Excel, Outlook). Previous call center or customer service experience strongly preferred. Ability to work on-site in Arecibo, PR on a full-time schedule. Education & Certifications High School Diploma or GED required. Additional training or certifications in customer service, communications, or related areas is a plus. What We Offer Competitive hourly wage Paid holidays, vacation, and sick leave Health insurance and professional development reimbursement. Career growth opportunities in federal contracting services. How to Apply Make a difference by supporting veterans while building your career in a professional call center environment! Equal Employment Opportunity and E-Verify Statement 3500 Square, LLC is proud to be an Equal Opportunity Employer. We do not discriminate against any applicant or employee on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, protected veteran status, military status, citizenship status, or any other legally protected status, in accordance with federal, state, and local laws. As a federal contractor, 3500 Square, LLC complies with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans' Readjustment Assistance Act (VEVRAA), providing equal opportunity and affirmative action for qualified individuals with disabilities and protected veterans. All employment decisions are based on qualifications, merit, and business needs. Fair consideration is provided to all candidates, including U.S. citizens and nationals, as required by federal regulations regarding national origin discrimination. If you require a reasonable accommodation to complete the application process due to a disability, please contact our Human Resources team at ***************** or **************. 3500 Square, LLC participates in E-Verify. If E-Verify cannot confirm that you are authorized to work, you will receive written instructions and an opportunity to contact the Department of Homeland Security (DHS) or Social Security Administration (SSA) to resolve the issue before any employment action is taken against you, including termination. Employers can only use E-Verify after you have accepted a job offer and completed the Form I-9. 3500 Square, LLC is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.

The Cold Call Specialist is responsible for making outbound calls (cold calls) to targeted prospects with the primary goal of generating interest, qualifying opportunities, and scheduling appointments or product presentations for the Call Center services offered by Nazareno Services through its Call Center division, RED (Reliable Enterprises Development). This role does not close sales directly. Instead, it focuses on the first stage of the sales process, ensuring a consistent flow of qualified appointments for the Contact Center Manager and/or Sales Representative to conduct presentations and close deals. Core Responsibilities Prospecting & Outbound Calling Make outbound calls to assigned prospect lists using company-provided tools and scripts. Execute cold calling and inside sales strategies to introduce Call Center services clearly and professionally. Identify basic client needs and assess initial interest level. Appointment Setting Schedule qualified appointments and presentations for the Contact Center Manager and/or Sales Representative. Confirm prospect availability, decision-maker status, and contact details prior to scheduling. Clearly communicate the value proposition to ensure productive sales meetings. Follow-Up & Documentation Accurately log calls, outcomes, and scheduled appointments in the designated CRM or tracking system. Conduct follow-up calls and callbacks as needed. Maintain organized and up-to-date prospect records to support the sales closing process. Sales Team Collaboration Work closely with the Contact Center Manager and/or Sales Representative to improve appointment quality. Adjust call scripts and messaging based on feedback and results. Support specific sales campaigns, service launches, or targeted market initiatives. Key Credentials Education: Bachelor's Degree in Marketing, Business, Management or equivalent experience. Prior experience in cold calling, inside sales, telemarketing, or lead generation (preferred). Preferred Qualifications Strong verbal communication and persuasion skills. Ability to handle objections professionally and confidently. Highly organized, disciplined, and results-oriented. Comfortable working with goals, quotas, and incentive-based compensation. Basic familiarity with CRM systems or sales tracking tools (preferred). Sales-driven mindset Resilience and persistence Active listening Strong follow-up and consistency Results and metrics orientation Working Conditions This position is hourly and non-exempt, and hours worked will be tracked in accordance with company policy and applicable labor laws. Work is primarily performed in an office or remote call-center environment, depending on business needs. The role requires prolonged periods of sitting, speaking on the phone, and working on a computer. Continuous use of a telephone headset, computer, CRM systems, and dialing software is required. The employee is expected to handle a high volume of outbound calls daily. Performance is goal-oriented and metric-driven, with expectations tied to call volume, appointment setting, and conversion quality. The role involves frequent interaction with business decision-makers and requires maintaining a professional, courteous, and persuasive demeanor at all times. May require participation in training sessions, coaching, and performance reviews related to sales effectiveness and product knowledge. Minimal physical exertion is required; however, the role demands mental focus, persistence, and resilience due to the nature of cold calling.

Job Description The Cold Call Specialist is responsible for making outbound calls (cold calls) to targeted prospects with the primary goal of generating interest, qualifying opportunities, and scheduling appointments or product presentations for the Call Center services offered by Nazareno Services through its Call Center division, RED (Reliable Enterprises Development). This role does not close sales directly. Instead, it focuses on the first stage of the sales process, ensuring a consistent flow of qualified appointments for the Contact Center Manager and/or Sales Representative to conduct presentations and close deals. Core Responsibilities Prospecting & Outbound Calling Make outbound calls to assigned prospect lists using company-provided tools and scripts. Execute cold calling and inside sales strategies to introduce Call Center services clearly and professionally. Identify basic client needs and assess initial interest level. Appointment Setting Schedule qualified appointments and presentations for the Contact Center Manager and/or Sales Representative. Confirm prospect availability, decision-maker status, and contact details prior to scheduling. Clearly communicate the value proposition to ensure productive sales meetings. Follow-Up & Documentation Accurately log calls, outcomes, and scheduled appointments in the designated CRM or tracking system. Conduct follow-up calls and callbacks as needed. Maintain organized and up-to-date prospect records to support the sales closing process. Sales Team Collaboration Work closely with the Contact Center Manager and/or Sales Representative to improve appointment quality. Adjust call scripts and messaging based on feedback and results. Support specific sales campaigns, service launches, or targeted market initiatives. Key Credentials Education: Bachelor's Degree in Marketing, Business, Management or equivalent experience. Prior experience in cold calling, inside sales, telemarketing, or lead generation (preferred). Preferred Qualifications Strong verbal communication and persuasion skills. Ability to handle objections professionally and confidently. Highly organized, disciplined, and results-oriented. Comfortable working with goals, quotas, and incentive-based compensation. Basic familiarity with CRM systems or sales tracking tools (preferred). Sales-driven mindset Resilience and persistence Active listening Strong follow-up and consistency Results and metrics orientation Working Conditions This position is hourly and non-exempt, and hours worked will be tracked in accordance with company policy and applicable labor laws. Work is primarily performed in an office or remote call-center environment, depending on business needs. The role requires prolonged periods of sitting, speaking on the phone, and working on a computer. Continuous use of a telephone headset, computer, CRM systems, and dialing software is required. The employee is expected to handle a high volume of outbound calls daily. Performance is goal-oriented and metric-driven, with expectations tied to call volume, appointment setting, and conversion quality. The role involves frequent interaction with business decision-makers and requires maintaining a professional, courteous, and persuasive demeanor at all times. May require participation in training sessions, coaching, and performance reviews related to sales effectiveness and product knowledge. Minimal physical exertion is required; however, the role demands mental focus, persistence, and resilience due to the nature of cold calling.

The Pharmacy Help Desk Call Center Representative reports to the Pharmacy Help Desk Call Center Supervisor and is responsible to provide a customer service by telephone of incoming and outbound calls to providers, beneficiaries and pharmacies. ESSENTIALS ROLES AND RESPONSIBILITIES Answer incoming pharmacy calls regarding issues related to a claim transaction, reimbursement, payment, and other required information in accordance with PharmPix Pharmacy Help Desk Call Center performance metrics. Answer incoming providers' and beneficiaries' calls following Call Center scripts, in a timely matter and in accordance with PharmPix call center performance metrics. Answer incoming calls and perform outbound calls according to HIPAA and Pharmacy Laws Standards. Identify pharmacies, providers and beneficiaries needs, clarify information, research every issue and providing solutions. Document all inquiries in the Customer Service Management Applications such as, Service Desk, OneArk and email. Route the case to the corresponding internal department or the appropriate Health Insurance Carrier. Guide pharmacies, providers and beneficiaries regarding the process of claim transmission, reimbursement and payment. Constantly monitors the BACMAN Alert Application to ensure proper management of rejections at point of sale. Evaluate on an individual basis to determine if the patient meets the criteria for a coverage determination for alerts such as DURs (Drug Utilization Reviews), HMO (Health Maintenance Organization) among other rejections evaluations required by business. Identify system issues and route to the corresponding internal department. Make outbound calls to pharmacies, providers and beneficiaries if necessary. Support all Quality Management Program initiatives. Perform Special projects and/or other duties assigned by the Operations Manager and or Pharmacy Help Desk Call Center Supervisor. TRAINING & EDUCATION Pharmacy Technician, Technical or Associate Degree LICENSURE / CERTIFICATION Puerto Rico Board of Pharmacy Technician Registry Certificate (CPhT), or prospect. PROFESSIONAL EXPERIENCE 1 - 2-year customer service or call center experience and healthcare environment (Preferable). PROFESSIONAL COMPETENCIES Knowledge: Fully Bilingual (Spanish / English written and verbal). PC skills (Microsoft System)/System oriented. Skills: Strong customer service skills. Excellent phone, written, active listening and follow-through skills. Skill in analyzing situations accurately and taking effective action. Attention to details. Time Management Skills: Establishing priorities and accomplishing tasks in a timely manner. Ability to work with others to reach a solution. Be able to toggle between several software programs. Demonstrated effective organizational skills. Abilities: Able to effectively interact with internal departments, PharmPix clients, members and other healthcare professionals. Ability to work with others to reach a solution. Be able to toggle between several software programs. Ability to work in a fast-paced environment and multitask. PHYSICAL AND MENTAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear, sitting, standing and walking. The position requires that weight be lifted and force be exerted up to 25 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ENVIRONMENTAL AND WORKING CONDITIONS This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. Require evening or weekend work. PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans