Customer Service Agent II

HealthEdge

. Receive and respond to inbound phone calls for customer assistance .

Posted 10/23/2026full-timeRemote • United StatesJuniorMid-Level💰 $18 - $21 per hourWebsite

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 a strong understanding of Medicare and Medicare Advantage plans. Proficient in communication and problem-solving, ensuring accurate documentation and timely responses to customer inquiries.

Highest-signal resume keywords

Healthcare Claims Operations ExperienceMedicare/Medicare Advantage KnowledgeExcellent Verbal And Written Communication SkillsAttention To DetailMicrosoft Office 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 Claims OperationsMedicare KnowledgeClaims ResearchDocumentation SkillsProblem-Solving Skills

Soft Skills

Customer Service SkillsAttention To Detail

Tools & Technologies

Ticketing SystemsTracking SystemsMicrosoft WordMicrosoft Excel

Industry Keywords

Call Center EnvironmentCovered Plan BenefitsInbound Phone CallsOutbound Phone CallsHybrid 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

Requirements

What you’ll need

High school degree required
2–3 years' experience in healthcare claims operations or a call center environment
Knowledge of Medicare/Medicare Advantage plans desired
Comprehensive understanding of covered plan benefits
Excellent verbal and written communication skills
Attention to detail and problem-solving skills
Basic understanding of Microsoft Office applications, especially Word and Excel
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

May require travel dependent on company needs
Reasonable accommodations for individuals with disabilities
Equal opportunity and workforce diversity commitment