Of the $3.8T we spend on healthcare in the United States annually, about a third of it is estimated to be lost due to waste, fraud and abuse. Codoxo is the premier provider of artificial intelligence-driven solutions and services that help healthcare companies and agencies proactively detect and reduce risks from fraud, waste, and abuse and ensure payment integrity. Codoxo helps clients manage costs across network management, clinical care, provider coding and billing, payment integrity, and special investigation units. Our software-as-a service applications are built on our proven Forensic AI Engine, which uses patented AI-based technology to identify problems and suspicious behavior far faster and earlier than traditional techniques.

We are venture backed by some of the top investors in the country, with strong financials, and remain one of the fastest growing healthcare AI companies in the industry.

Position Summary:

Reporting to the Manager of Provider Scope, the Healthcare Provider Customer Service Specialist will be responsible for making outbound (and receiving inbound calls) to healthcare providers such as physicians, clinics, and hospitals. The ideal candidate will have experience working with healthcare providers, providing excellent customer service, and the ability to think on your feet.

Key Responsibilities:

• Make outbound calls to, or receive inbound calls from, healthcare providers.
• Send emails or faxes to providers.
• Log the call or outreach activity into Codoxo’s database or other databases as needed.
• Achieve set goals and targets for call volumes, company targets, and customer satisfaction.
• Collaborate with other departments such as Codoxo’s Customer Success, Security, Product, and Engineering teams.
• Validation of all Provider Scope outgoing correspondence.
• Troubleshooting with providers who are having trouble to accessing the health plan specific SSO portals and Codoxo portal.
• Collaborate with data science and product teams to update provider addresses.
• Maintain a positive and professional attitude while on the phone with providers.
• Follow company policies and procedures regarding call scripts, data entry, and confidentiality of information.
• Continuously improve knowledge of healthcare products and services offered by the company.

Qualifications:

• Minimum of 12 months of healthcare call center experience; provider communication preferred.
• High school diploma or equivalent.
• Technical ability - must have good knowledge of navigating and searching websites.
• General knowledge of health plans and provider networks is preferred.
• Prior experience in a call center or customer service role.
• Strong verbal and written communication skills, with the ability to explain complex information in simple terms and provide long-term relationships with providers.
• Strong organizational skills with the ability to manage multiple tasks and priorities simultaneously.
• Proficient in Microsoft Office Suite and experience using customer relationship management (CRM) or other software.
• Knowledge of healthcare products, services, and regulations is a plus.
• Ability to work independently and as part of a team in a fast-paced and high-call environment.
• Willingness to work during business hours, 8 am-8 pm EST as needed based on the provider’s business hours’ time zone.
• Excellent interpersonal and communication skills include building rapport, active listening, patience, empathy, positive attitude, adaptability, flexibility, and professional demeanor.
• Physical Requirements: Work is performed in an office environment (either in our office or work-from home) and requires the ability to work on a computer, operate standard office equipment, and work at a desk.

Accessibility Notice: If you need reasonable accommodation for any part of the employment process due to a physical or mental disability, please send an email to careers@codoxo.com with the subject "Accommodation". Reasonable accommodation requests will be considered on a case-by-case basis.

Benefits for You

Health, Dental, and Vision insurance with 100% employee premium coverage (Starts Day 1)

Unlimited PTO

Annual Professional Development stipend

Annual home office stipend

401K Match (after 90 days)

We are an Equal Opportunity Employer:

Codoxo provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment.