Customer Service Rep Job at Medix in Dallas

Medix is looking for customer-focused, compassionate individuals to join our Member & Provider Services Team. In this role, you'll be the first line of support for members and providers, helping them understand and get the most out of their health insurance plans.

This isn't a typical call center position-you'll be assisting with real healthcare issues, from benefits and claims to billing and eligibility, through inbound calls and emails.

• Provide empathetic, seamless service to members and providers via phone and email.
• Address inquiries related to claims, billing, eligibility, benefits, prescriptions, and provider details.
• Use internal systems to accurately explain benefits and claims details.
• Actively listen, ask the right questions, and determine the best resolution path.
• Document all customer interactions clearly and professionally in the CRM.
• Collaborate with internal teams, third parties, and brokers to ensure timely resolutions.
• Follow a structured schedule and be open to overtime during peak season (January-March).

• Strong customer service background.
• Proficiency with computers and comfort navigating multiple systems.
• Basic understanding of health insurance concepts.
• Clear, professional communication skills (verbal and written).
• Ability to work independently, problem-solve, and think quickly.

• Experience with a Third-Party Administrator (TPA).
• Call center or high-volume support experience.
• Previous health plan or insurance background.
• Associate's or Bachelor's degree.

• Must be able to commit to 40 hours/week, scheduled between 7a-7p CST.
• Available for overtime, including early mornings, evenings or weekends as needed during peak season

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)
• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)
• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)
• Short Term Disability Insurance
• Term Life Insurance Plan

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.