Call Center Agent II

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

📋 Description

• Handle incoming phone calls for customer support.

• Make outbound calls as needed to assist customers.

• Log all communication in ticketing and tracking systems.

• Address customer inquiries and deliver information within specified timeframes.

• Serve as the intermediary between the claims department and providers.

• Investigate customer claims using primary payer systems.

• Maintain the highest standard of customer service on every call.

• Carry out additional responsibilities as assigned or required.

• Report directly to the Customer Service Manager.

• Operate within an inbound call center dedicated to UST customers.

⛳️ Requirements

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

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

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

• Ability to work independently with minimal supervision.

• In-depth knowledge of covered benefits, coding, reimbursement policies, and contracts.

• Strong verbal and written communication skills.

• Attention to detail and strong problem-solving capabilities.

• Proficient in MS Office applications, particularly Word and Excel.

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

• Capacity to work across different time zones in a hybrid or remote work setting.

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

🏝️ Benefits

• Full-time, permanent position.

• Travel may be necessary based on company requirements.

• Reasonable accommodations available for individuals with disabilities.

• Commitment to equal opportunity and workforce diversity.