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

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Demonstrates expertise in healthcare claims operations and customer service within a call center environment, ensuring effective communication and problem-solving while maintaining attention to detail. Proficient in managing customer inquiries and utilizing ticketing systems to document interactions.

Highest-signal resume keywords

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare ClaimsCodingReimbursement PoliciesContractsTicketing SystemsData DocumentationAttention To DetailProblem-Solving

Soft Skills

Ability To Work With Minimal Supervision

Tools & Technologies

MS OfficeTicketing Systems

Industry Keywords

Call Center EnvironmentCustomer AssistanceInbound CallsOutbound CallsClaims 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 payer systems
Ensure the highest level of customer service on every call
Perform other duties as assigned or necessary
Report to the Customer Service Manager
Work within an inbound call center serving UST customers

Requirements

What you’ll need

High school degree required; Bachelor’s degree preferred
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, reimbursement policies, and contracts
Excellent verbal and written communication skills
Attention to detail and problem-solving skills
Proficiency with MS Office applications, especially Word and Excel
Spanish speaking and written language proficiency preferred
Ability to work across multiple time zones in a hybrid or remote work environment
Candidates may be required to complete a pre-employment criminal background check

Benefits

Comp & perks

Full-time, permanent employment
May require travel dependent on company needs
Reasonable accommodations for individuals with disabilities
Equal opportunity and workforce diversity commitment