Call Center Agent II

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

📋 Description

• Answer and manage incoming phone calls from customers seeking assistance

• Handle requests for outbound phone calls

• Record all calls in tracking and ticketing systems

• Address customer inquiries and provide information within specified time frames

• Serve as a liaison between the claims department and providers

• Investigate customer claims within primary payor systems

• Maintain the highest standard of customer service on every call

• Execute additional duties as assigned or deemed necessary

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

• Travel may be required based on company needs

⛳️ Requirements

• High school diploma is mandatory

• 2–3+ years of pertinent professional experience in healthcare claims operations or in a call center

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

• Capability to work independently with minimal supervision

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

• Exceptional verbal and written communication abilities

• Strong attention to detail and adept problem-solving skills

• Proficiency in Microsoft Office applications, particularly Word and Excel

• Preference for candidates with Spanish speaking and writing skills

• May be required to complete a pre-employment criminal background check

🏝️ Benefits

• Equal opportunity employer dedicated to workforce diversity

• Reasonable accommodations available for individuals with disabilities

• Permanent employment