Call Center Agent II

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

📋 Description

• Handle and address inbound phone calls for customer support

• Make outbound calls as requested

• Log all calls in ticketing and tracking systems

• Address customer inquiries and deliver information within the designated timeframe

• Serve as a liaison between the claims department and healthcare providers

• Investigate customer claims within primary payor systems

• Maintain the highest standard of customer service on every call

• Carry out additional duties as assigned or necessary

• Report directly to the Customer Service Manager

⛳️ Requirements

• High school diploma required; Bachelor's degree preferred

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

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

• Capability to work independently with minimal supervision

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

• Exceptional verbal and written communication skills

• Strong attention to detail and problem-solving abilities

• Proficient in MS Office applications, particularly Word and Excel

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

• Ability to work across various time zones in a hybrid or remote work setting

• Capability to sit or stand for extended periods while using video technology

• Candidates may be required to undergo a pre-employment criminal background check

🏝️ Benefits

• Full-time, permanent position

• Travel may be required based on company needs

• Reasonable accommodations available for individuals with disabilities

• Commitment to equal opportunity and workforce diversity