Call Center Agent II

HealthEdge

. Receive and respond to inbound phone calls for customer assistance .

Posted 9/18/2026full-timeRemote • MexicoJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare claims operations and customer service, with strong communication skills and attention to detail. Proficient in managing customer inquiries and utilizing ticketing systems effectively.

Highest-signal resume keywords

Healthcare Claims OperationsCustomer Service ExperienceVerbal And Written Communication SkillsMicrosoft Office ProficiencySpanish Language Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare ClaimsCoding And Reimbursement PoliciesTicketing And Tracking SystemsAttention To DetailProblem-Solving Skills

Soft Skills

Ability To Work With Minimal Supervision

Tools & Technologies

Microsoft WordMicrosoft Excel

Industry Keywords

Call Center EnvironmentCovered BenefitsClaims Department Liaison

About the role

Key responsibilities & impact

Receive and respond to inbound phone calls for customer assistance
Respond to outbound phone call requests
Document all calls in ticketing and tracking systems
Respond to customer inquiries and provide data within required time frames
Act as liaison between the claims department and providers
Research customer claims in primary payor systems
Ensure the highest level of customer service on every call
Perform other duties as assigned or necessary
Work across multiple time zones in a hybrid or remote work environment
May require travel depending on company needs

Requirements

What you’ll need

High school degree required
2–3+ years of relevant professional experience in healthcare claims operations or a call center environment
Previous healthcare call center/customer service experience
Ability to work with minimal supervision
Comprehensive understanding of covered benefits, coding and reimbursement policies and contracts
Excellent verbal and written communication skills
Attention to detail and problem-solving skills
Proficiency with Microsoft Office applications, especially Word and Excel
Spanish speaking and written language proficiency preferred
May be required to undergo a pre-employment criminal background check

Benefits

Comp & perks

Equal opportunity employer committed to workforce diversity
Reasonable accommodations for individuals with disabilities
Permanent employment