COMPANY OVERVIEW:
HealthAxis is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. We are transforming the way healthcare is administered by providing innovative technology and services that uniquely solve critical healthcare payer challenges negatively impacting member and provider experiences.
We live and work with purpose, care about others, act with integrity, communicate with transparency, and don’t take ourselves too seriously.
We're not just about business – we're about people. Our commitment to a people-first approach shapes everything we do, from collaborating as a team to serving our valued clients. We believe that creating a vibrant and human-centric environment can inspire engagement, empower our team members, and ignite a sense of purpose in all that we accomplish.
PURPOSE AND SCOPE:
***MUST HAVE A MINIMUM OF 2-YEARS CALL CENTER EXPERIENCE***
The Call Center Representative role is to receive, investigate and respond to all member and provider calls to review questions regarding claims, benefits or general inquiries in a timely and accurate manner.
PRINCIPAL RESPONSIBILITIES AND DUTIES:
Answers all telephone calls within established department standards.
Tracks all calls within the Health Axis and IKA databases ensuring that documentation is concise and factual
Participates in new employee orientation program and ongoing education programs as directed by Supervisors
Responsible for fully understanding the OTC benefits, medical management processes, demographic change processes, and process for changing Primary Care Physicians (PCP)
Answers benefit questions, detailed claims inquiries and general questions from members and providers
Maintains a positive and professional attitude
Shifts may vary from 8am – 10pm EST Monday-Friday and potentially weekend hours may be required
Attention to detail is required to maintain quality metrics within the call center
Maintains appropriate current source documents and reference documents
Performs quality work within deadlines with or without direct supervision
Interacts professionally with other employees, customers and suppliers
Works effectively as a team contributor on all assignments
Works independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations
As required, re-directs calls to appropriate department
Participates in any projects as assigned by supervisors
CUSTOMER SERVICE:
Responsible for driving the HealthOps culture through values and customer service standards
Accountable for outstanding customer service to all external and internal contacts
Develops and maintains positive relationships through effective and timely communication
Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner
EDUCATION, EXPERIENCE AND REQUIRED SKILLS:
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)
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At HealthAxis, we're all about innovative solutions in healthcare, and we’re currently looking for a Customer Service Representative to join our passionate Tampa team! In this vital role, you'll be the voice of our company, assisting both members and providers with their questions about claims, benefits, and general inquiries. With your friendly demeanor and problem-solving abilities, you’ll ensure that every call is answered in a timely manner, helping to create a positive experience for everyone who reaches out to us. Your day will be filled with collaboration and learning, as you participate in training sessions to deepen your understanding of our systems and the healthcare landscape. We value attention to detail since effective documentation is key to maintain our quality metrics. Plus, no two days are alike; you may have the opportunity to work varied shifts, including evenings. Our company culture is a big part of who we are. At HealthAxis, we prioritize relationships, so if you approach conversations with positivity and respect, you'll fit right in. We're committed to a people-first philosophy; we want you to thrive and feel supported in your role. If you have at least two years of call center experience and a desire to leave a positive impact on healthcare, we’d love to chat with you about this rewarding opportunity as our next Customer Service Representative in Tampa!
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