Customer Service Representative

4 days ago

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HealthAxis Group

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HealthAxis Group is a technology solutions provider specializing in healthcare administration. Their cloud-native platform, AxisCore™, streamlines health plan management through solutions like claims processing and benefit administration, designed to enhance operational efficiency. HealthAxis offers a suite of services including Business Process as a Service (BPaaS), consulting, and staff augmentation. The company's approach focuses on scalability, compliance, and tailored support, aiming to empower healthcare organizations to meet member needs effectively.

Claims Processing Software • Business Process Outsourcing (BPO) • Third Party Administrative Services • business process as a service (BPaaS) • Core Administrative Processing

201 - 500 employees

Founded 1965

⚕️ Healthcare Insurance

☁️ SaaS

💳 Fintech

📋 Description

• Receive, investigate and respond to all member and provider calls regarding claims, benefits or general inquiries • Answers all telephone calls within established department standards • Tracks all calls ensuring documentation is concise and factual • Participates in new employee orientation program and ongoing education programs • Responsible for fully understanding the OTC benefits, medical management processes, demographic change processes, and process for changing Primary Care Physicians (PCP) • Answers benefit questions and detailed claims inquiries from members and providers • Maintains a positive and professional attitude • Shifts may vary from 8am – 10pm EST Monday-Friday and potentially weekend hours • Attention to detail is required to maintain quality metrics

🎯 Requirements

• High school diploma or general education degree (GED) required • Minimum of two years call center experience required • Previous experience in a customer service environment and health insurance preferred • An equivalent combination of education, training, and experience • Ability to read and interpret documents and calculate figures and amounts • Excellent oral and written communication skills including good grammar, voice, diction • Effective listening skills • Ability to perform work in an unbiased and analytical manner • Proficient in MS Office with basic computer and keyboarding skills • Excellent customer service skills (friendly, courteous, and helpful)