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 verbal and written communication skills. Proficient in MS Office applications and capable of working independently in a fast-paced environment.

Highest-signal resume keywords

Healthcare Claims OperationsCustomer Service ExperienceMS Office ProficiencyVerbal and Written Communication SkillsSpanish Language Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare Claims ResearchCoding and Reimbursement PoliciesTicketing and Tracking SystemsData DocumentationAttention to DetailProblem-Solving Skills

Soft Skills

Ability to Work IndependentlyCustomer Service Orientation

Industry Keywords

Call Center EnvironmentCovered BenefitsHybrid Work EnvironmentTime Zone Coordination

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 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
Report to the Customer Service Manager
Work according to related schedules during the service center's 8am-6pm CST USA operating hours

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
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 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
Long periods of sitting and/or standing in front of a computer using video technology
May be required to pass a pre-employment criminal background check

Benefits

Comp & perks

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