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Call Center Representative (Credentialing) - San Juan, PR

San Juan, Puerto Rico

Caring. Connecting. Growing together.

With these values to guide us, our people are committed to making a meaningful difference in the lives of those we are honored to serve.

Call Center Representative (Credentialing) - San Juan, PR

Requisition number: 2396782 Job category: Customer Services Primary location: San Juan, Puerto Rico Date posted: 10/28/2026 Overtime status: Non-exempt Travel: No

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

This role is equally challenging and rewarding. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans and levels of benefits available to members and you'll soon find yourself creating positive experiences and earning the gratitude of callers on an hourly basis.

This position follows an office-based schedule with three in-office days per week.

Primary Responsibilities:

  • Provides customer service support to providers through live phone call or live chat, to give updates on their credentialing status or contracting status and validates state specific requirement 
  • Focus on resolving issues on the first interaction, navigating through complex computer systems to identify the status of the issue and provide appropriate response to the provider 
  • Deliver information and answer questions in a positive manner to facilitate solid relationships with providers and continue to establish rapport
  • Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends
  • Complete outbound calls as needed to complete case resolutions
  • Other duties or projects may apply

***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***

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

Required Qualifications:

  • 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
  • Microsoft and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
  • Available to work (40 hours/week) Monday- Friday. Flexible to work any of our 8 hour shift schedules during our normal business hours of 8:00am to 6:00pm ATL. It may be necessary, given the business need to work holidays and overtime.
  • English proficiency

Preferred Qualification:

  • Health care experience

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Benefits

Our mission of helping people live healthier lives extends to our team members. Learn more about our range of benefits designed to help you live well.

Life

Resources and support to focus on what matters most to you, in every facet of your life.

Emotional

Education, tools and resources to help you reduce and manage stress, build resilience and more.

Physical

Health plans and other coverage to support wellness for you and your loved ones.

Financial

Benefits for today and to help you plan for the future, including your retirement.

Learn more
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