ZipRecruiter

Log In

1

Medicare Call Center Jobs in Puerto Rico (NOW HIRING)

Insight Communications

PR · On-site

Monday to Friday: 8:00 am to 5:00 pm Extent No extent General purpose The call center and ... Knowledgeable of all Medicare Guidelines regarding the Remote Patient Monitoring program and ...

Insight Communications

PR · On-site

Monday to Friday: 8:00 am to 5:00 pm Extent No extent General purpose The call center and ... Knowledgeable of all Medicare Guidelines regarding the Remote Patient Monitoring program and ...

Insight Communications

PR · On-site

Monday to Friday: 8:00 am to 5:00 pm Extent No extent General purpose The call center and ... Knowledgeable of all Medicare Guidelines regarding the Remote Patient Monitoring program and ...

Insight Communications

PR · On-site

Monday to Friday: 8:00 am to 5:00 pm Extent No extent General purpose The call center and ... Knowledgeable of all Medicare Guidelines regarding the Remote Patient Monitoring program and ...

Insight Communications

PR · On-site

Descripción general El Técnico de Farmacia en el Call Center brinda apoyo telefónico a pacientes ... Conocimiento básico de beneficios de seguros médicos (Medicare, Medicaid, planes comerciales)

Insight Communications

PR · On-site

Descripción general El Técnico de Farmacia en el Call Center brinda apoyo telefónico a pacientes ... Conocimiento básico de beneficios de seguros médicos (Medicare, Medicaid, planes comerciales)

Insight Communications

PR · On-site

GENERAL DESCRIPTION The Call Center Pharmacy Technician provides telephone support to patients ... Basic knowledge of health insurance benefits (Medicare, Medicaid, commercial plans)

APS Health Care PR

PR · On-site

$16.75 - $20.25/hr

The Health Professional 1-Pharmacy Call Center Representative manages telephone calls from ... for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where ...

Insight Communications

PR · On-site

$14.75 - $18.25/hr

GENERAL DESCRIPTION The Call Center Pharmacy Technician provides telephone support to patients ... Basic knowledge of health insurance benefits (Medicare, Medicaid, commercial plans). * Proficiency ...

All JobsMedicare Call Center JobsMedicare Call Center Jobs in Puerto Rico

Medicare Call Center information

What is a Medicare Call Center job?

A Medicare Call Center job involves assisting Medicare beneficiaries with questions about coverage, enrollment, claims, and plan options. Representatives provide information, troubleshoot issues, and ensure customers understand their benefits. Strong communication skills and knowledge of Medicare guidelines are essential. Many positions involve handling a high volume of calls while maintaining excellent customer service.

What are the typical daily responsibilities of someone working in a Medicare Call Center?

In a Medicare Call Center, your daily responsibilities generally include answering incoming calls from Medicare beneficiaries, addressing questions about coverage, benefits, and claims, and assisting with enrollment or policy updates. You may also follow up on unresolved issues, document interactions in customer management systems, and escalate complex cases to specialized teams as needed. Collaboration with supervisors and teammates is common to ensure accurate information is provided and to maintain compliance with federal guidelines. This environment is customer-focused and often fast-paced, ideal for those who enjoy problem-solving and helping others.

What are the key skills and qualifications needed to thrive in the Medicare Call Center position, and why are they important?

To thrive in a Medicare Call Center role, you need strong communication skills, attention to detail, and knowledge of Medicare guidelines, often supported by a high school diploma or equivalent. Familiarity with customer relationship management (CRM) systems, phone systems, and sometimes certification in healthcare customer service is an advantage. Active listening, patience, and the ability to remain calm under pressure are key soft skills that set top performers apart. These competencies are essential to accurately assist callers, resolve complex inquiries, and maintain positive client relations in a fast-paced environment.

What are popular job titles related to Medicare Call Center jobs in Puerto Rico? For Medicare Call Center jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Medicare Call Center jobs in Puerto Rico look for? The top searched job categories for Medicare Call Center jobs in Puerto Rico are:
Medicare Call Center jobs near you
Infographic showing various Medicare Call Center job openings in Puerto Rico as of July 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% In-person job distribution.

Bilingual Call Center Nurse

Insight Communications

PR • On-site

Full-time, Part-time

Re-posted 8 days ago

Job description

Job Description


Department

Human Resources

Location

342 San Luis St., Suite 304, San Juan, PR 00920

Position

Bilingual Nurse

Reports to

María Miranda De Jesús

Title

HR & Finance Director

Position type:

Full time

Part time

Contract

In house

Shift hours: 40 weekly

Operating: Monday to Friday: 8:00 am to 5:00 pm

Extent

No extent

General purpose

The call center and telemedicine nurse will act as a link with the patient, providing effective remote patient monitoring (RPM) and telemedicine services and channel any request or problem that requires attention, providing the corresponding guidance to the attending physician. Among the essential qualities is to promote the use of the health monitoring devices and to provide the patient all the necessary information an empathic way, in order to educate the patient regarding the RPM program. maintaining their ability to have control of the call and efficiently communicate the information. The goal is to ensure quality care and compliance with the RPM and telemedicine services, respond effectively to patient inquiries, and ensure high patient satisfaction. Generate outgoing calls in order to verify patient information and vitals in accordance with the RPM program, through the effective use of the RPM and Telemedicine Software. Also, provide the necessary feedback if in the case of emergent patient care situations, by seeking assistance of the Medical Director or attending physician.

RESPONSIBILITIES AND COMPETENCES
  • Administrative, organizational, data management and communication skills.
  • Knowledgeable and able to effectively manage the Remote Patient Monitoring platform system
  • Knowledgeable of all Medicare Guidelines regarding the Remote Patient Monitoring program and Telemedicine programs
  • Manage a large number of outgoing and incoming calls
  • Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance, of the clinical director or MD.
  • Monitor the patient's condition and assess their needs to provide the best care and advice according to their responsibilities.
  • Identify and evaluate the needs of patients to achieve their satisfaction.
  • Manage multiple database systems provided by the company to document all interactions with patients as established.
  • 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.
  • Fully Bilingual ( English and Spanish) – Written and Oral
  • Any other task designated by your supervisor or immediate manager, not limited to the aforementioned.
WORK EXPERIENCE REQUIREMENTS
  • Nurse experience
  • Knowledge of EMR system
  • Excellent knowledge of nursing care procedures and methods.
  • Ability to demonstrate empathy, motivation, attention, and support for the patient's needs.
  • Honest and responsible for their actions.
  • 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.
  • Schedule availability and rotating shifts.
  • Possess high professionalism and ability to deal with clients and colleagues.
Academic requirements
  • Associate or bachelor’s degree in nursing
DEMANDS

- Work mostly seated for approximately 7 to 8 hours to be able to successfully fulfill essential functions

- Number of people directly supervised 2 maintenance people.

- Exposed 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.

- Travel requirement if necessary, to the other facilities.

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. 787-625-1930, 787-625-1927, 787-625-1929 Fax. 787-625-1928