Customer Service Agent II

HealthEdge; United States; Remote; USD 25,000 - 29,000; Full time

Job summary

HealthEdge is seeking a Customer Service Associate to support US-based customers through inbound call center operations. The role reports to the Customer Service Manager and operates during 8am–9pm EST in a remote/hybrid setup across the US.

Key duties include handling inbound and outbound calls, documenting interactions, and liaising between departments to resolve customer inquiries. Candidates should have a high school degree and 2–3 years of healthcare claims or call center experience.

Qualifications

• Experience in healthcare claims operations or call center environments is preferred.
• Strong verbal and written communication skills are essential.
• Attention to detail and problem-solving abilities are required.
• Basic familiarity with MS Office applications (Word, Excel).

Responsibilities

• Handle inbound calls for customer assistance.
• Respond to outbound call requests.
• Document calls in ticketing/tracking systems.
• Provide timely data and respond to customer inquiries.

Skills

Customer service

Call center

Communication

Attention to detail

Problem solving

Education

High school degree

Tools

MS Word

MS Excel

Job description

Overview

HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We’re experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we’re investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com.

Reporting to the Customer Service Manager, the Customer Service Associate will provide exceptional customer service to the UST customers via inbound Call Center Operations. The service center will be open from 8am-9pm EST USA and will occur related schedules.

Duties/Responsibilities:

• Receive and respond to inbound phone calls for customer assistance
• Respond to outbound phone callrequests
• 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 the primary payor systems
• Ensure highest level of customer service on every call
• Perform other duties as assigned or necessary

Required Skills/Abilities

• High school degree required
• 2 -3 years’ experience in Healthcare claims operations or Call Center environment
• Desired skill –Knowledge of Medicare/ Medicare Advantage plans
• Maintain a full comprehensive understanding of the covered plan benefits
• Excellent verbal and written communication skills.
• Attention to detail and problem-solving skills
• Basic understanding of MS Office applications, especially Word and Excel.

Geographic Responsibility: Remote, US

Type of Employment: Full-time, permanent

FLSA Classification (USA Only): Non-Exempt

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

• The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

• Work across multiple time zones in a hybrid or remote work environment.

• Long periods of time sitting and/or standing in front of a computer using video technology.

• May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

#LI-Remote

**The annual US hourly range for this position is $18 to $21. This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the interview process and is based on a combination of factors including, but not limited to,your skills, experience,qualificationsand education.