
Call Center Agent II
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in Mexico.
• Answer and address incoming phone calls for customer assistance.
• Handle requests for outbound phone calls.
• Log all calls in tracking and ticketing systems.
• Address customer inquiries and supply information within specified time frames.
• Serve as a liaison between the claims department and service providers.
• Investigate customer claims in primary payer systems.
• Maintain the highest standard of customer service on every interaction.
• Execute additional duties as assigned or required.
• Deliver customer service to UST clients through inbound call center operations.
• Report directly to the Customer Service Manager.
• A high school diploma is mandatory; a Bachelor’s degree is preferred.
• 2–3+ years of pertinent professional experience in healthcare claims operations or a similar duration in a call center setting.
• Prior experience in healthcare call center or customer service roles.
• Capability to work independently with minimal oversight.
• Thorough knowledge of covered benefits, coding, reimbursement policies, and contractual agreements.
• Strong verbal and written communication abilities.
• Keen attention to detail along with problem-solving capabilities.
• Proficient in MS Office applications, particularly Word and Excel.
• Proficiency in Spanish, both spoken and written, is preferred.
• Candidates may need to undergo a pre-employment criminal background check.
• Ability to collaborate across various time zones.
• Capacity to sit and/or stand for extended periods while utilizing a computer and video technology.
• Full-time, permanent position.
• Flexible remote work environment.
• Options for hybrid or fully remote working arrangements.
• Travel may be required based on company needs.
• Reasonable accommodations available for individuals with disabilities.
• Commitment to equal opportunity employment and workforce diversity.
Compass Experience Labs
Fluttera
Presbyterian Healthcare Services
Community Health Network of Connecticut, Inc.
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