Call Center Agent II

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

📋 Description

• Manage and address inbound phone calls for customer support.

• Handle requests for outbound phone calls.

• Record all interactions in ticketing and tracking systems.

• Address customer inquiries and provide information within stipulated timeframes.

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

• Investigate customer claims in primary payor systems.

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

• Carry out additional duties as assigned or necessary.

• Collaborate across multiple time zones in a hybrid or remote working setup.

⛳️ Requirements

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

• 2-3+ years of relevant professional experience in Healthcare claims operations or in a Call Center environment.

• Previous experience in a Health Care 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 and adept problem-solving skills.

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

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

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

🏝️ Benefits

• Full-time, permanent position.

• Remote working environment.

• Travel may be required based on company needs.

• Reasonable accommodations for individuals with disabilities.

• Commitment to equal opportunity employment.