Customer Service Representative
HealthAxis Group
4 reviews
Tampa, FL 33609
Remote
Full-time
HealthAxis Group
4 reviews
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Job details
Job Type
Full-time
Full Job Description Job Details
Level
Entry
Job Location
Corporate Headquarters - Tampa, FL
Remote Type
Fully Remote
Position Type
Full Time
Job Category
Customer Service
Customer Service Representative
The Customer Service Representative’s role is to receive, investigate and respond to all inquiries and resolve problems and/or complaints in a timely and accurate manner.
Principal Duties and Responsibilities:
• Answers all telephone calls within established department standards
• Tracks all existing member calls within the IKA database ensuring that documentation is concise and factual
• Responsible for fully understanding all lines of business benefits, medical management processes, demographic change processes, and process for changing Primary Care Physicians (PCP)
• Understands Commercial/Self-Funded Insurance standard practices
• Participates in new employee orientation program and ongoing education programs as directed by Supervisors
• Responsible for fully understanding all lines of business benefits, medical management processes, demographic change processes, and claims
• Answer “entry level” claims inquiries
• Takes “Over the Counter” (OTC) orders for products and diabetic supplies
• Understands and processes “entry level” enrollment and disenrollment procedures
• Enters prospective members into Leads software
• 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
Requirements & Qualifications
• High school diploma or general education degree (GED) required
• Minimum of six months to 1-year related healthcare experience
• An equivalent combination of education, training and experience
• Excellent oral and written communication skills including good grammar, voice and diction
• Able to read and interpret documents and calculate figures and amounts
• Proficient in MS Office with basic computer and keyboarding skills
• Excellent customer service skills (friendly, courteous and helpful
HealthAxis Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, disability status, or membership in any other group protected by federal, state or local law