Customer Service Agent II

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 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 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