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 within a call center environment, ensuring effective communication and problem-solving while maintaining attention to detail. Proficient in MS Office applications and capable of working independently in a hybrid or remote setting.

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 ClaimsCoding and Reimbursement PoliciesTicketing and Tracking SystemsData ResearchAttention to Detail

Soft Skills

Problem-Solving SkillsAbility to Work Independently

Industry Keywords

Call Center OperationsCustomer AssistanceInbound and Outbound CallsCovered BenefitsHybrid Work Environment

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
Provide customer service to UST customers via inbound call center operations
Report to the Customer Service Manager

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
May be required to complete a pre-employment criminal background check
Ability to work across multiple time zones in a hybrid or remote work environment
Ability to sit and/or stand for long periods in front of a computer using video technology

Benefits

Comp & perks

Full-time, permanent employment
Remote work environment
May require travel dependent on company needs
Reasonable accommodations for individuals with disabilities
Equal opportunity employer committed to workforce diversity