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 Call Center Customer Service, ensuring effective communication and problem-solving while maintaining high standards of customer service. Proficient in managing customer inquiries and documentation in a fast-paced, hybrid work environment.

Highest-signal resume keywords

Healthcare Claims OperationsCall Center Customer ServiceVerbal and Written Communication SkillsAttention to DetailMS Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare ClaimsCoding and Reimbursement PoliciesTicketing and Tracking SystemsData ResearchCustomer Inquiry Response

Soft Skills

Problem-Solving SkillsMinimal Supervision

Tools & Technologies

MS Office ApplicationsWordExcel

Industry Keywords

Customer AssistanceClaims Department LiaisonCovered BenefitsSpanish Language ProficiencyPre-Employment Background Check

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 a required time frame
Act as liaison between 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

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 2-3+ years of relevant experience in a Call Center environment
Previous Health Care Call Center/Customer Service Experience
Must be able 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 MS Office applications, especially Word and Excel
Spanish speaking and written language proficiency preferred
Candidates may be required to go through a pre-employment criminal background check

Benefits

Comp & perks

Equal opportunity employer committed to workforce diversity
Reasonable accommodations for individuals with disabilities
May require travel dependent on company needs