
Call Center Agent II
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in Mexico.
• Answer and address incoming customer support calls
• Handle outgoing call requests
• Log calls in tracking and ticketing systems
• Address customer questions and deliver information within set timelines
• Serve as a bridge between the claims department and service providers
• Investigate customer claims within primary payor systems
• Maintain the highest standard of customer service during every interaction
• Execute any other assigned or necessary tasks
• High school diploma required; Bachelor's degree preferred
• 2–3+ years of relevant professional experience in healthcare claims operations or within a call center setting
• Previous experience in a healthcare call center or customer service role
• Capability to work independently with minimal supervision
• In-depth understanding of covered benefits, coding, reimbursement policies, and related contracts
• Strong verbal and written communication abilities
• Keen attention to detail and effective problem-solving skills
• Proficient in Microsoft Office applications, particularly Word and Excel
• Preferred proficiency in spoken and written Spanish
• Willingness to collaborate across various time zones
• Candidates may need to undergo a pre-employment criminal background check
• Full-time, permanent position
• Remote working conditions
• Possible travel based on company requirements
• Reasonable accommodations available for individuals with disabilities
• Commitment to equal opportunity employment and workforce diversity
Compass Experience Labs
Fluttera
Presbyterian Healthcare Services
Community Health Network of Connecticut, Inc.
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