Customer Service Agent II

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $18 - $21 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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

🎯 Requirements

• High school degree required • 2–3 years' experience in healthcare claims operations or a call center environment • Knowledge of Medicare/Medicare Advantage plans desired • Comprehensive understanding of covered plan benefits • Excellent verbal and written communication skills • Attention to detail and problem-solving skills • Basic understanding of Microsoft Office applications, especially Word and Excel • Ability to work across multiple time zones in a hybrid or remote work environment • Candidates may be required to complete a pre-employment criminal background check

🏖️ Benefits

• May require travel dependent on company needs • Reasonable accommodations for individuals with disabilities • Equal opportunity and workforce diversity commitment