Customer Service Representative - AEP Seasonal

Full Time
Remote
Posted
Job description

This is a 100% Remote

Seasonal Position starting September 1st and typically ending March 31st.

Why work at HealthAxis

Established in 1965 to deliver healthcare technology and solutions to a variety of healthcare organizations throughout the United States, HealthAxis Group equips payers, providers, and health organizations with integrated solutions from an advanced claims system and TPA services to actionable analytics. We streamline operations and improve client and patient outcomes. HealthAxis Group offers hosted, Internet-based benefits distribution and administration applications, along with professional and business process outsourcing services.

Our executive team includes 40+ years of experience in Healthcare Administration and Technology. This wealth of knowledge powers our holistic thinking and sharp execution.

We practice an open-door policy and are always willing to listen to employee ideas and feedback. At HealthAxis, your ideas and innovations are appreciated and supported.

JOIN OUR TEAM!

We have more than 400 team members nationwide! We are seeking team members who are passionate about technology, service-oriented, positive, driven, enjoy teamwork, and are looking for a casual and inclusive work setting. We are currently seeking a 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

Physical Demands and Working Conditions:

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Ability to frequently remain in a stationary position.

2. Ability to frequently communicate and exchange accurate information.

3. Ability to constantly operate equipment such as telephone, computers, etc.

4. Ability to move equipment more than 5 lbs.

Employees are required to review and comply with all relevant company policies and procedures, local, state, and federal laws, and regulations. Ensure that employees understand and comply with all-relevant Company policies and procedures, and local, state, and Federal laws and regulations, and establish effective internal systems and controls to promote such compliance.

The duties listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

HealthAxis Group, LLC and its subsidiaries are 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.

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