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Customer Service Representative

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)

Average salary estimate

$40000 / YEARLY (est.)
min
max
$35000K
$45000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Customer Service Representative , HealthAxis Group, LLC

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!

Frequently Asked Questions (FAQs) for Customer Service Representative Role at HealthAxis Group, LLC
What are the responsibilities of a Customer Service Representative at HealthAxis?

As a Customer Service Representative at HealthAxis, you will be responsible for answering calls related to claims, benefits, and general inquiries promptly and professionally. Your role entails maintaining documentation in our databases, participating in training sessions, and ensuring a high level of customer service. Additionally, you will handle various customer service issues, redirect calls when necessary, and maintain positive relationships with both members and providers.

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What qualifications do I need to apply for the Customer Service Representative position at HealthAxis?

To apply for the Customer Service Representative position at HealthAxis, you must have a high school diploma or GED and at least two years of call center experience. While previous customer service experience in a health insurance environment is preferred, a combination of education and relevant experience will also be considered. Additionally, possessing strong communication skills and proficiency in MS Office is important for this role.

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What is the work environment like for a Customer Service Representative at HealthAxis?

The work environment for a Customer Service Representative at HealthAxis is vibrant and engaging, centered around teamwork and mutual support. We foster a culture where your contributions matter, creating a welcoming atmosphere. You will have the opportunity to connect with both colleagues and clients, reflecting our commitment to outstanding customer service and integrity in all our communications.

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How does HealthAxis support the development of Customer Service Representatives?

HealthAxis is dedicated to the growth and development of its employees. As a new Customer Service Representative, you will participate in orientation and ongoing training programs to deepen your understanding of our systems and customer service standards. We believe investing in our team leads to better performance and job satisfaction, so you can expect plenty of resources and support to help you succeed.

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What are the typical work hours for a Customer Service Representative at HealthAxis?

The typical work hours for a Customer Service Representative at HealthAxis can vary. Shifts usually fall between 8 AM to 10 PM EST, Monday through Friday, and may also include weekend hours. Flexibility is key, as we strive to meet our customers’ needs while ensuring a work-life balance for our employees.

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Common Interview Questions for Customer Service Representative
How do you handle difficult customers in a call center environment?

When dealing with difficult customers, it's essential to remain calm and focused. Acknowledge their concerns and practice active listening to ensure they feel heard. Empathize with their situation and ask clarifying questions, if necessary. Finally, strive to provide a solution or involve a supervisor if the issue requires further assistance.

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Can you describe your experience in a call center and how it relates to the Customer Service Representative role?

In my previous call center experience, I successfully managed high volumes of calls, addressing customer inquiries efficiently and empathetically. I developed a deep understanding of our services, allowing me to provide accurate information quickly. This aligns perfectly with the Customer Service Representative role at HealthAxis, where a customer-focused approach and prompt assistance are paramount.

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What strategies do you use to maintain composure during a stressful call?

To maintain composure during stressful calls, I practice mindfulness techniques such as deep breathing before answering. During the call, I focus on the customer's needs and solutions, keeping my tone steady and professional. Reminding myself that the customer is often stressed, I strive to bring clarity and calmness to the conversation.

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How do you prioritize calls when dealing with multiple inquiries?

When prioritizing calls, I assess the urgency of each inquiry and address critical issues first. Using a structured approach, I ensure that I keep the customer informed about the time I need to resolve their issue. By managing expectations, I am able to maintain high levels of service while resolving multiple inquiries effectively.

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What do you think is the most important quality for a Customer Service Representative?

The most important quality for a Customer Service Representative is empathy. Understanding and relating to a customer's feelings can help build rapport and trust, which ultimately leads to better outcomes. Additionally, strong communication skills and a problem-solving mindset are key attributes that contribute to successful interactions.

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Describe a time when you exceeded a customer's expectations. What was the outcome?

In a previous role, I assisted a customer who was having difficulties with a complicated process. I took the time to walk them through each step carefully and provided follow-up resources. They were extremely grateful, and their issue was resolved well ahead of their deadline, which not only increased their satisfaction but also garnered positive feedback for our team.

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How do you handle situations where you do not know the answer to a customer's question?

If I encounter a question I cannot answer, I would first reassure the customer that I will find the necessary information. I would either place them on hold to look it up or tell them I will follow up shortly with the answer. This approach shows the customer that I value their concerns and am committed to providing the most accurate information.

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What systems or technologies have you worked with in previous roles?

In my previous roles, I have utilized various customer relationship management (CRM) systems and telephony software. I am proficient in MS Office Suite and have experience documenting interactions in databases. This technical expertise will allow me to adapt quickly to the systems used at HealthAxis, ensuring seamless service delivery.

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Why do you want to work as a Customer Service Representative at HealthAxis?

I am interested in working at HealthAxis because of its commitment to transforming healthcare through technology and a people-first approach. I believe that my background in customer service aligns perfectly with your mission to improve member and provider experiences. I am enthusiastic about contributing to such a meaningful industry and being part of a passionate team.

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What do you think sets HealthAxis apart from other healthcare service providers?

HealthAxis stands out due to its innovative approach and focus on addressing core challenges faced by healthcare payers. The commitment to a people-first culture fosters an engaging environment for employees and clients alike. I am drawn to the idea of working in a company that values integrity, transparency, and teamwork while making a significant impact on the healthcare landscape.

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Full-time, on-site
DATE POSTED
March 15, 2025

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