Call Center Agent II

• 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
• Work across multiple time zones in a hybrid or remote work environment
• May require travel depending on company needs

• High school degree required; Bachelor’s degree preferred
• 2–3+ years of relevant professional experience in healthcare claims operations or 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

• Full-time, permanent employment
• Reasonable accommodations for individuals with disabilities
• Equal opportunity and workforce diversity commitment