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Medical Call Center Jobs in Puerto Rico (NOW HIRING)

Insight Communications

PR · On-site

Descripción general El Técnico de Farmacia en el Call Center brinda apoyo telefónico a pacientes, proveedores y aseguradoras, gestionando autorizaciones de recetas, prior authorizations y ...

Insight Communications

PR · On-site

  • Medical

GENERAL DESCRIPTION The Call Center Pharmacy Technician provides telephone support to patients ... Validate, enter, and process medical prescriptions in the assigned platforms, as well as create ...

Mount Sinai Medical Center

PR · On-site

  • Medical

  • Life

  • Retirement

  • PTO

Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse ... Call and document critical values or alert levels per department policy. * Follow laboratory policy ...

Validation & Engineering Group, Inc

PR · On-site

... and Medical Devices industries in the following areas: Laboratory, Compliance, Computer ... Provide effective quality controls to referral management, call center, and fulfillment operations.

Insight Communications

PR · On-site

$14.75 - $18.25/hr

  • Medical

GENERAL DESCRIPTION The Call Center Pharmacy Technician provides telephone support to patients ... Validate, enter, and process medical prescriptions in the assigned platforms, as well as create ...

Elevance Health

Director I Customer Care - Multi

San Juan, PR · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Puerto Rico location operates a bilingual Spanish and English call center, providing clear and ... medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase ...

Elevance Health

PR · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our Puerto Rico location operates a bilingual Spanish and English call center, providing clear and ... medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase ...

Firstsource

Customer Service Representative

Mayaguez, PR · Remote

$16 - $21.75/hr

Specific qualifications for this medical role include: High School diploma or GED 1 Year Call Center Exp Six months healthcare claims experience. Ability to read and interpret general business ...

Firstsource

Customer Service Representative

Mayaguez, PR · On-site

$16 - $21.75/hr

Specific qualifications for this medical role include: High School diploma or GED 1 Year Call Center Exp Six months healthcare claims experience. Ability to read and interpret general business ...

Firstsource

Claims Examiner

Guaynabo, PR · On-site

$21/hr

  • Retirement

  • PTO

Call center experience (required). Experience with: U.S. healthcare reimbursement ; Medical record review ; Medicare, Medicaid, commercial insurance, or managed care ; Clinical documentation review ...

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All JobsMedical Call Center JobsMedical Call Center Jobs in Puerto Rico

Medical Call Center information

What is a medical call center?

Medical call center jobs involve handling incoming and outgoing calls related to healthcare services. Employees in these roles may schedule appointments, provide information about medical services, assist with insurance or billing inquiries, and sometimes offer basic medical advice under the guidance of healthcare professionals. These positions require strong communication skills, empathy, and an understanding of healthcare processes and privacy regulations. Medical call center staff are often the first point of contact for patients, so professionalism and confidentiality are crucial.

What are the key skills and qualifications needed to thrive as a medical call center representative?

To thrive as a Medical Call Center Representative, you need a solid understanding of medical terminology, customer service experience, and often a high school diploma or healthcare-related certification. Familiarity with call center software, electronic health record (EHR) systems, and scheduling platforms is typically required. Strong communication, active listening, and problem-solving skills help you effectively address patient concerns and coordinate with healthcare teams. These skills ensure accurate information sharing, patient satisfaction, and efficient healthcare service delivery.

What are some common challenges faced by employees working in a medical call center, and how can these be managed?

Working in a medical call center often involves handling high call volumes, addressing sensitive patient concerns, and navigating complex healthcare information. One common challenge is managing stressful or emotionally charged conversations, especially when callers are anxious or unwell. Team members are typically supported through structured training, clear protocols, and close collaboration with clinical staff to ensure accurate information is provided and escalation procedures are followed. Regular team meetings and access to supervisory support help staff maintain resilience and deliver quality service.

What is the difference between Medical Call Center vs Medical Receptionist?

AspectMedical Call CenterMedical Receptionist
CredentialsBasic healthcare knowledge, communication skillsHigh school diploma, sometimes medical office training
Work EnvironmentCall centers, remote or office-basedMedical offices, clinics, hospitals
Employer & IndustryHealthcare call centers, insurance companiesHospitals, clinics, private practices
Common Search & ComparisonCustomer service, patient inquiriesPatient check-in, appointment scheduling

While both roles involve patient interaction, Medical Call Centers primarily handle inbound calls for appointment scheduling, billing, or patient inquiries in a call center setting. Medical Receptionists work directly in healthcare facilities, managing front desk duties like check-ins and scheduling in person. Understanding these differences helps job seekers find the right role based on work environment and responsibilities.

What are the most commonly searched types of Medical Call Center jobs in Puerto Rico?

The most popular types of Medical Call Center jobs in Puerto Rico are:

What job categories do people searching Medical Call Center jobs in Puerto Rico look for?

The top searched job categories for Medical Call Center jobs in Puerto Rico are:

Medical Call Center jobs near you
Infographic showing various Medical Call Center job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, 2% Temporary, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Tecnico de Farmacia

Insight Communications

PR • On-site

Full-time

Re-posted 8 days ago

Job description

Descripción general

El Técnico de Farmacia en el Call Center brinda apoyo telefónico a pacientes, proveedores y aseguradoras, gestionando autorizaciones de recetas, prior authorizations y verificación de beneficios, en cumplimiento con las regulaciones de Puerto Rico. Su rol se enfoca en ofrecer un servicio preciso, empático y eficiente, asegurando la correcta documentación de cada interacción y la resolución oportuna de consultas relacionadas con medicamentos. Debe mantener comunicación clara, control de la llamada y orientación al servicio, con el objetivo de garantizar una atención de calidad y alta satisfacción del paciente.

Responsabilidades y COMPETENCIAS

  • Atender llamadas entrantes de farmacias. (Inbound calls)
  • Gestionar pre-autorizaciones administrativas, incluyendo casos relacionados a viajes, costos y otros definidos durante el proceso de adiestramiento, asegurando el cumplimiento de los lineamientos establecidos.
  • Verificar elegibilidad, beneficios y cobertura de seguros en los sistemas correspondientes.
  • Validar, ingresar y procesar recetas médicas en las plataformas asignadas, así como crear casos en RxPath.
  • Brindar orientación básica sobre medicamentos, estatus de recetas y procesos relacionados.
  • Documentar de manera precisa y oportuna todas las interacciones en los sistemas.
  • Manejar múltiples sistemas y bases de datos de forma eficiente.
  • Cumplir con métricas de calidad, productividad, nivel de servicio y tiempos de respuesta.
  • Mantener la confidencialidad de la información conforme a HIPAA y regulaciones aplicables.
  • Identificar y escalar casos que requieran intervención adicional o del farmacéutico.
  • Seguir políticas, procedimientos y lineamientos establecidos por la empresa.
  • Notificar a su supervisor cualquier situación que pueda afectar la operación, tanto clientes como con empleados que pueda afectar el buen funcionamiento de la empresa.
  • Cualquier otra tarea designada por su supervisor o encargado inmediato, no limitada a lo antes mencionado.

Requisitos y experiencia laboral

  • Mínimo de 6 meses de experiencia como Técnico de Farmacia y en servicio al cliente en Call Center (preferiblemente).
  • Conocimiento básico de procesos farmacéuticos y atención al paciente.
  • Experiencia en manejo de alto volumen de llamadas (preferible).
  • Conocimiento de terminología farmacéutica y medicamentos.
  • Manejo de sistemas de farmacia.
  • Habilidad para trabajar con múltiples sistemas simultáneamente.
  • Conocimiento básico de beneficios de seguros médicos (Medicare, Medicaid, planes comerciales)
  • Dominio de herramientas tecnológicas y equipos computarizados.
  • Buen manejo de teclado y entrada de datos (data entry).
  • Excelente comunicación verbal y escrita, con buena dicción.
  • Escucha activa y habilidades de contacto telefónico.
  • Orientación al servicio al cliente y empatía con el paciente.
  • Capacidad para identificar y responder a las necesidades del cliente.
  • Manejo de presión y alto volumen de trabajo.
  • Atención al detalle y precisión en el manejo de información
  • Adaptabilidad para interactuar con distintos perfiles de clientes.
  • Trabajo en equipo y colaboración.
  • Alto sentido de responsabilidad, ética y profesionalismo.
  • Disponibilidad para trabajar horarios y turnos rotativos.
  • Bilingüe — español e inglés (hablado y escrito) preferible.


Requisitos académicos

  • Registro activo como Técnico de Farmacia ante la Junta Examinadora de Puerto Rico (Ley 247-2006). Certificación PTCB (Pharmacy Technician Certification Board) o ExCPT vigente.
  • Cursos o certificaciones relacionados al campo.

DEMANDAS

  • Trabajo mayormente sentado entre 7 a 8 horas aproximadamente para poder cumplir con éxito sus funciones esenciales.
  • Expuesto a uso de equipo computarizado en todo momento para realizar sus funciones.
  • Se requiere visión, hablar y escuchar para ejecutar sus funciones y capaz de ser entendido.
  • Estar disponible para trabajar horas extras en los casos de necesidad operacional que sea requerido.