Call Center Agent II

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

📋 Description

• Answer and manage incoming phone calls to provide customer support.

• Handle requests for outbound phone calls.

• Record all calls in ticketing and tracking systems.

• Address customer inquiries and deliver information within specified deadlines.

• Serve as a communication link between the claims department and providers.

• Investigate customer claims within primary payor systems.

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

• Carry out additional tasks as assigned or required.

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

⛳️ Requirements

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

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

• Prior 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 abilities.

• Keen attention to detail along with problem-solving capabilities.

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

• Preference for candidates who are fluent in Spanish, both spoken and written.

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

🏝️ Benefits

• Equal opportunity employer dedicated to workforce diversity.

• Reasonable accommodations available for individuals with disabilities.

• Travel may be required based on company needs.