Call Center Agent II

Job not on LinkedIn

🔥 0 minutes ago

🇲🇽 Mexico – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📞 Call Center Representative

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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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

• 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 within required time frames • Act as liaison between the 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 • Provide customer service to UST customers through inbound call center operations • Report to the Customer Service Manager

🎯 Requirements

• High school degree required; Bachelor’s degree preferred • 2–3+ years of relevant professional experience in healthcare claims operations or 2–3+ years of relevant experience in a call center environment • Previous healthcare call center/customer service experience • Ability to work with minimal supervision • Comprehensive understanding of covered benefits, coding, 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 complete a pre-employment criminal background check • Ability to work across multiple time zones • Ability to sit and/or stand for long periods while using a computer and video technology

🏖️ Benefits

• Full-time, permanent employment • Remote work environment • Hybrid or remote work environment flexibility • May require travel dependent on company needs • Reasonable accommodations for individuals with disabilities • Equal opportunity employment and workforce diversity commitment