Call Center Agent II

HealthEdge

. Receive and respond to inbound customer assistance calls .

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 ExperienceMicrosoft Office ProficiencyVerbal and Written Communication SkillsSpanish Language Proficiency

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Healthcare ClaimsCodingReimbursement PoliciesTicketing SystemsData Documentation

Soft Skills

Attention to DetailProblem-Solving SkillsAbility to Work Independently

Tools & Technologies

Microsoft WordMicrosoft Excel

Industry Keywords

Call Center EnvironmentCustomer AssistanceCovered BenefitsClaims Department Liaison

About the role

Key responsibilities & impact

Receive and respond to inbound customer assistance calls
Respond to outbound phone call requests
Document 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

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 Microsoft Office applications, especially Word and Excel
Spanish speaking and written language proficiency preferred
Ability to work across multiple time zones
Candidates may be required to complete a pre-employment criminal background check

Benefits

Comp & perks

Full-time, permanent employment
Remote work environment
Work across multiple time zones
May require travel dependent on company needs
Reasonable accommodations for individuals with disabilities
Equal opportunity employment