Call Center Agent II

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

📋 Description

• Handle and react to incoming phone calls for customer support

• Attend to outbound call requests

• Record all calls in ticketing and tracking systems

• Address customer questions and deliver information within specified time limits

• 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 interaction

• Execute additional tasks as assigned or required

⛳️ Requirements

• High school diploma is required; Bachelor's degree is preferred

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

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

• Capability to work independently with little supervision

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

• Outstanding verbal and written communication abilities

• Strong attention to detail and problem-solving capabilities

• Proficiency in MS Office applications, particularly Word and Excel

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

• Ability to collaborate across multiple time zones

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

🏝️ Benefits

• Full-time, permanent position

• Opportunity for remote work

• Travel may be required based on company needs

• Reasonable accommodations for individuals with disabilities

• Commitment to equal opportunity and workforce diversity