Healthcare Provider Customer Service Specialist jobs in United States
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Codoxo · 6 hours ago

Healthcare Provider Customer Service Specialist

Codoxo is a leading provider of artificial intelligence-driven solutions in the healthcare sector, focusing on reducing waste, fraud, and abuse. The Healthcare Provider Customer Service Specialist will engage with healthcare providers, ensuring excellent customer service while managing call volumes and collaborating with various teams.

AnalyticsArtificial Intelligence (AI)Fraud DetectionGenerative AIHealth CareMachine LearningSoftware
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Growth Opportunities

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

Qualification

Healthcare call center experienceCustomer relationship management (CRM)Technical abilityHealth plansMicrosoft Office SuiteVerbal communicationOrganizational skillsInterpersonal skillsWork independently

Required

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
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
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

Preferred

General knowledge of health plans and provider networks is preferred
Knowledge of healthcare products, services, and regulations is a plus

Benefits

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)

Company

Codoxo

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Codoxo leverages advanced generative and self-learning AI to enhance payment integrity in healthcare.

Funding

Current Stage
Growth Stage
Total Funding
$49.66M
Key Investors
CVS Health VenturesQED Investors
2025-12-17Series C· $35M
2025-03-01Debt Financing
2022-02-03Series B· $5.25M

Leadership Team

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Musheer Ahmed
CEO & Founder
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Toby Shum
Vice President, Finance @ Codoxo - AI Solutions for Healthcare
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Company data provided by crunchbase