Call Center Agent II

Job not on LinkedIn

🔥 3 hours ago

🇲🇽 Mexico – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📞 Call Center Representative

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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HealthEdge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2005

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.

📋 Description

• Provide exceptional customer service to HealthEdge customers through inbound call center operations • Receive and respond to inbound phone calls for customer assistance • Respond to outbound phone call requests • Document all calls in ticketing and tracking systems • Respond to customer inquiries and provide data to customers within a required time frame • Act as liaison between claims department and providers • Research customer claims in primary payor systems • Ensure the highest level of customer service on every call • Perform other duties as assigned or necessary • Complete training Monday through Friday between 8:00 AM and 6:00 PM Mexico Central Time from November 9 through December 28, 2026 • Work shifts Monday through Sunday between 8:00 AM and 6:00 PM Mexico Central Time from December 29, 2026, through February 8, 2027; weekend employees receive another day off during the week

🎯 Requirements

• High school degree required; Bachelor’s degree preferred • Must be a citizen of Mexico • 2-3+ years of relevant professional experience in Healthcare claims operations or 2-3+ years of relevant experience in a Call Center environment • Previous Health Care Call Center/Customer Service Experience • Must be able to work with minimal supervision • Maintain a full comprehensive understanding of covered benefits, coding and reimbursement policies and contracts • Excellent verbal and written communication skills • Attention to detail and problem-solving skills • Proficiency with MS Office applications, especially Word and Excel • Spanish speaking and written language proficiency preferred • Candidates may be required to go through a pre-employment criminal background check

🏖️ Benefits

• Employees will be eligible for benefits during their three-month contract • $250 USD sign-on bonus paid upon successful completion of the three-month contract