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Temporary Call Center Representative Jobs in Puerto Rico

$17.25 - $20.75/hr

Job Summary The Pharmacy Call Center Representative manages telephone calls and Prior Authorizations from pharmacies and providers related to pharmacy benefits, authorization requests, and drug use ...

PR · On-site

Descripción de Puesto Departamento Operacional Ubicación 342 San Luis St., Suite 304, San Juan, PR 00920 Puesto Representante de Ventas ( Call Center ) Depende de German Muñoz Título Director ...

PR · On-site

Descripción de Puesto Departamento Operacional Ubicación 342 San Luis St., Suite 304, San Juan, PR 00920 Puesto Representante de Ventas ( Call Center ) Depende de German Muñoz Título Director ...

PR · On-site

... Provider Relations Representative! ????? ¿Eres un profesional apasionado por la calidad, la ... A través de nuestro Provider Innovation Center , formamos líderes que redefinen el ecosistema de ...

$12.70/hr

Support pharmacies with claim-related issues and processing questions. * Assist with onboarding or guidance for pharmacy representatives. * Follow CMS and applicable regulatory standards in all ...

PR

$15.25 - $20.75/hr

As a Business Back Office Team Representative, you'll be responsible for providing internal support ... Serve as liaison between the Call Center and other departments such as One IT, Network, NOC ...

PR · On-site

$13.25 - $16.75/hr

Customer Service Representative (Bilingual - English/Spanish) | Arecibo, Puerto Rico Clearance ... Previous call center or customer service experience strongly preferred. * Ability to work on-site ...

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 ...

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 ...

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Temporary Call Center Representative information

What are Temporary Call Center Representatives?

Temporary Call Center Representatives are customer service professionals hired on a short-term or seasonal basis to handle phone-based inquiries, resolve issues, and provide information to customers. They are often employed during busy periods, such as holidays or special promotions, to help manage increased call volumes. Their responsibilities typically include answering calls, processing orders, troubleshooting problems, and documenting customer interactions. Temporary positions may last from a few weeks to several months, and may offer flexible schedules. These roles require strong communication skills, patience, and a customer-focused attitude.

What are the key skills and qualifications needed to thrive as a Temporary Call Center Representative, and why are they important?

To thrive as a Temporary Call Center Representative, you need strong verbal communication skills, active listening, and a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, phone systems, and basic computer literacy is often required. Patience, resilience, and the ability to stay calm under pressure are standout soft skills in this role. These skills ensure you can handle high call volumes, resolve customer issues efficiently, and contribute to positive customer experiences.

What are some common challenges faced by Temporary Call Center Representatives, and how can they be managed effectively?

Temporary Call Center Representatives often face challenges such as quickly adapting to new systems, managing high call volumes, and handling a wide range of customer inquiries with limited training time. To succeed, it's important to proactively ask questions, make use of available training materials, and seek support from supervisors or more experienced team members. Staying organized and maintaining a positive attitude can also help in managing stress and delivering excellent customer service, even in a fast-paced environment.

What is the difference between Temporary Call Center Representative vs Customer Service Agent?

AspectTemporary Call Center RepresentativeCustomer Service Agent
CredentialsHigh school diploma or equivalent; training providedHigh school diploma or equivalent; training provided
Work EnvironmentCall centers, remote or on-siteCall centers, retail, or office settings
Employer & Industry UsageCustomer service, telecommunication, retailCustomer service, retail, hospitality
Search & Comparison IntentTemporary, short-term customer support rolesLonger-term or permanent customer service roles

Temporary Call Center Representatives and Customer Service Agents often share similar skills and work environments, but the key difference lies in employment duration. Temporary roles are short-term, often seasonal or project-based, while Customer Service Agents may hold permanent positions. Both roles require similar credentials and are used across various industries to handle customer inquiries efficiently.

What are the most commonly searched types of Call Center Representative jobs in Puerto Rico? The most popular types of Call Center Representative jobs in Puerto Rico are:

Pharmacy Call Center Specialist- Temp

Abarca Health

San Juan, PR • On-site

$80K - $81K/yr

Temporary

Posted 21 days ago


Job description

We're seeking individuals who are passionate about making a meaningful impact on how people experience pharmacy care. Below are two career paths within our pharmacy call center where your background and skills may align with current or future opportunities as they arise.
Coverage Determination
As a Coverage Determination Specialist you will be responsible to create and evaluate coverage determinations for our clients'. You will communicate with pharmacists, beneficiaries, and doctors regarding pending coverage determinations for our clients' beneficiaries, applying clinical knowledge in each coverage determination case. You must comply with all federal rules and regulations, and client contracts and have disposition to give an extra mile in every coverage determination case. Main duties include:
  • Review and Respond to all Coverage Determination (CD) requests, and claims pending to be adjudicated for Medicare and/or Commercial-plan beneficiaries, always in an accurate and timely manner.
  • Receive calls from pharmacies, physicians and members in relation to status of CD requests.
  • Initiate calls to physicians, pharmacy and members when additional information is required for processing and adjudicating a CD request.
  • Generate calls, faxes and/or letters to pharmacies, physicians and members in reference to coverage determination requests' resolutions.
  • Document Coverage Determination (CD) request inquiries, issues, status and resolution in accordance with federal and department / company policies and guidelines.
  • Review faxes and emails and create new cases for Medicare/Medicaid or Commercial plans.
  • Support Pharmacists in gathering additional information to support the decision of making an exception (formulary, non-formulary or other requests).
  • Ensure Medicare & Medicaid Services (CMS) Compliance or other regulating entities related to coverage determinations.
  • Complete other Coverage Determination related tasks, as assigned.

Rx Customer Service
As an Rx Customer Service Specialist, you will serve at the front line of all incoming and outgoing communication (calls, emails, and faxes) with pharmacies, beneficiaries, and prescribers. You will use Rx Platform and other resources as necessary to resolve caller's needs. Main duties include:
  • Manage all incoming calls, emails, faxes and web-generated requests from pharmacies, beneficiaries, and prescribers.
  • Provide service-level standards set by CMS or by client; 80% of calls should fall within service level, less than 5% abandon rate and speed to answer should be less than 30 seconds.
  • Rejection support, including overrides.
  • Provide Coverage Determination status to clients including exceptions and appeals.
  • Administrative PAs- Document PA request inquiries, issues, status, and resolution in accordance with federal and department and company policies and guidelines.
  • Answer questions and recommend corrective services to address customer complaints, payment status, manual reversal requests, benefit and eligibility support, provider portal support and response to price appeals.
  • Report identified issues to the appropriate department, for investigation and correction, following the established procedure.

The Bold Requirements...
  • Associate degree in Pharmacy Technician.
  • 1+ years of experience in customer service.
  • Experience with Microsoft Office tools (Outlook, Excel, Power Point, and Word).
  • Excellent oral and written communication skills. Fluency in English and Spanish is required.
  • Available to work rotating shifts, including nights, weekends, and holidays.
  • Available to work in a hybrid work model which will require certain on-site workdays.

Nice to have...
  • Certified Pharmacy Technician License is preferred.
  • Experience in healthcare or pharmacy setting is a plus.

Physical requirements...
  • Must be able to access and navigate each department at the organization's facilities.
  • Sedentary work that primarily involves sitting/standing.

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.
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".
All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of gender, race/ethnicity, gender identity, sexual orientation, protected veteran status, disability, or other protected group status.
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