
Call Center Agent II
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in Mexico.
β’ Answer and address inbound customer support calls
β’ Handle outbound call requests
β’ Record calls in tracking and ticketing systems
β’ Address customer inquiries and deliver information within specified timeframes
β’ Serve as a bridge between the claims department and providers
β’ Investigate customer claims in primary payor systems
β’ Maintain the highest level of customer service with every interaction
β’ Carry out additional duties as assigned or necessary
β’ High school diploma required
β’ Bachelorβs degree preferred
β’ 2-3+ years of relevant experience in healthcare claims operations or a call center setting
β’ Previous experience in a healthcare call center or customer service role
β’ Ability to work independently with minimal supervision
β’ In-depth knowledge of covered benefits, coding, reimbursement policies, and contracts
β’ Strong verbal and written communication abilities
β’ High attention to detail and effective problem-solving skills
β’ Proficiency in Microsoft Office applications, particularly Word and Excel
β’ Preferred proficiency in spoken and written Spanish
β’ Capacity to work across multiple time zones
β’ Candidates may need to undergo a pre-employment criminal background check
β’ Full-time, permanent position
β’ Remote work setting
β’ Opportunities to work across different time zones
β’ Possible travel based on company requirements
β’ Reasonable accommodations available for individuals with disabilities
β’ Commitment to equal opportunity employment
Compass Experience Labs
Fluttera
Presbyterian Healthcare Services
Community Health Network of Connecticut, Inc.
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