Note: The job is a remote job and is open to candidates in USA. Medix is seeking a Customer Service Representative/Care Coordinator to support members and their families in a collaborative clinical setting. The role provides customer service, resolves non-clinical barriers, coordinates medical records and scheduling, maintains accurate member information, and supports care plans alongside clinical teams.
Responsibilities
- Answer the phone and respond to incoming inquiries with plan members to ensure understanding of the program while delivering exceptional customer service
- Work member activities via telephonic, digital messaging, and/or via external referrals to address and resolve member barriers to utilize their benefits and address program questions
- Help identify and resolve non-clinical barriers that may prevent members from utilizing their benefit and escalate to RNs when clinical input is required
- Assist clinical team members by obtaining the necessary information – demographic, financial, clinical and other pertinent data - to support members within the clinical program
- Under RN direction, initiate medical records requests, track progress, and follow up with facilities to ensure timely receipt of all required documentation
- Utilize internal platforms to provide RN and members accurate benefit, claims, and accumulator information
- Accurately record all outreach, referral status updates, and member interactions in the electronic health record (EHR) or care management system
- Partner with clinical teams, case managers, and scheduling staff to ensure members’ care plans are supported and coordinated effectively
- Demonstrate empathy, active listening, and problem-solving to promote a positive member care experience
- Assists with scheduling expert medical opinions between members and specialists, supporting both automated scheduling processes and cases requiring direct coordination
Skills
- • 1-3 Years experience in healthcare operations, telehealth, insurance claims processing, benefits • processing, customer service or similar field preferred
- • Highly collaborative mindset
- • High level of empathy and discretion in handling sensitive medical informationHigh School Diploma or Equivalent
- • Proficiency in Microsoft Office Suite plus the ability to work across multiple platforms at the same time
- • Above average communication skills to include written and verbal communication
- • Associate's or higher in Healthcare Administration, Public Health or related field preferred
- • Background in virtual care, telehealth, or care navigation
- • Experience in surgical scheduling or supporting procedural workflows
- • Demonstrated ability to identify workflow gaps and recommend process improvements
- • Strong multitasking skills and ability to move efficiently between multiple technologies
Company Overview