Call Center Agent II

Posted 1 day ago

This is a fully remote position, open to applicants in Mexico.

📋 Description

• Answer and address incoming phone calls for customer support.

• Handle outgoing phone call requests.

• Record all calls in ticketing and tracking systems.

• Address customer inquiries and deliver information within specified time frames.

• Serve as a bridge between the claims department and providers.

• Investigate customer claims in primary payor systems.

• Maintain the highest standard of customer service with every interaction.

• Execute additional tasks as assigned or necessary.

• Collaborate across various time zones in a hybrid or remote work setting.


⛳️ Requirements

• High school diploma is mandatory; a Bachelor’s degree is preferred.

• 2-3+ years of relevant professional experience in healthcare claims operations or within a call center setting.

• Prior experience in a healthcare call center or customer service role.

• Capability to work independently with minimal oversight.

• Thorough understanding of covered benefits, coding, reimbursement policies, and contracts.

• Exceptional verbal and written communication abilities.

• Strong attention to detail along with problem-solving skills.

• Proficiency in Microsoft Office applications, particularly Word and Excel.

• Proficiency in Spanish, both spoken and written, is preferred.

• Ability to operate across multiple time zones.

• Candidates may need to undergo a pre-employment criminal background check.


🏝️ Benefits

• Fixed-term 3-month contract.

• Remote work opportunity based in Mexico.

• Hybrid or remote work environment.

• Reasonable accommodations available for individuals with disabilities.

• Equal opportunity employment.

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