Apex Systems
Customer Service Representative
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Customer Service Representative
role at
Apex Systems . This is a fully remote position with company hours 9AM‑5PM CST.
Base Pay Range $50,000.00/yr – $55,000.00/yr
Job Details (Job #3015382) Fully Remote – 9AM‑5PM CST hours. Reports to Sr. Director Claims and Customer Support, and Manager of Claims and Customer Support.
Key Responsibilities
Research, review and respond to inquiries received from members and providers.
Employ active listening skills, demonstrate patience and empathy, and handle difficult calls tactfully, courteously and professionally.
Effectively manage escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow‑through to closure.
Leverage company policies and procedures, benefits, claims, and eligibility to respond accurately to all inquiries.
Handle member complaints and complaint appeals.
Work with internal departments, vendors, business partners, providers, etc. to help coordinate problem solving in an effective and timely manner.
Demonstrate basic understanding of company billing guidelines and interpret inquiries related to claims and claim payments.
Accurately document all calls.
Recognize trends and patterns in call types and engage leadership with suggested solutions.
Accountable to meet and maintain established department production and quality standards, on both an individual and team basis.
Assist members with navigating the member portal while encouraging self‑sufficiency.
Demonstrate personal responsibility by meeting attendance and schedule adherence expectations.
Excel in a virtual work environment through active participation in team huddles, one‑on‑ones, instant messaging, or check‑ins.
Experience and Skills Desired
Minimum of 2 years customer service experience.
Knowledge of medical and insurance industry terminology including CPT/ICD‑10, HCPCS and revenue codes.
Excellent verbal and written communication; ability to articulate complex topics to a broad audience.
Comfortable performing in a fast‑paced, deadline‑oriented work environment.
Strong attention to detail and problem‑solving skills with a high level of accuracy.
Collaborate and support business and operational units such as Claims, Medical Management, Appeals and Grievance.
Proficient in Microsoft Office applications Word, Excel, Outlook, OneNote, etc.
Prior experience using a CRM, preferably Salesforce.
Bonus: fluency in Spanish.
Telecommuting Requirements
Dedicated work area separate from other living areas to ensure privacy.
Ability to keep all company sensitive documents secure.
Must live in the United States.
Must have a high‑speed internet connection/service.
Location and Benefits This is a remote position. Company business hours: weekdays 9‑5 CST. Full benefits package including health insurance, 401(k) matching, vision, dental, life, disability, and vacation.
Apex Benefits Overview Medical, dental, vision, life, disability and other insurance plans. Employee stock purchase program (ESPP) and 401(k) program with company match after 12 months. Health Savings Account (HSA) on HDHP plan. SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions. Corporate discount savings program and other discounts. On‑demand training program, certification prep and library of technical and leadership courses.
Equal Opportunity Employer Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.
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Customer Service Representative
role at
Apex Systems . This is a fully remote position with company hours 9AM‑5PM CST.
Base Pay Range $50,000.00/yr – $55,000.00/yr
Job Details (Job #3015382) Fully Remote – 9AM‑5PM CST hours. Reports to Sr. Director Claims and Customer Support, and Manager of Claims and Customer Support.
Key Responsibilities
Research, review and respond to inquiries received from members and providers.
Employ active listening skills, demonstrate patience and empathy, and handle difficult calls tactfully, courteously and professionally.
Effectively manage escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow‑through to closure.
Leverage company policies and procedures, benefits, claims, and eligibility to respond accurately to all inquiries.
Handle member complaints and complaint appeals.
Work with internal departments, vendors, business partners, providers, etc. to help coordinate problem solving in an effective and timely manner.
Demonstrate basic understanding of company billing guidelines and interpret inquiries related to claims and claim payments.
Accurately document all calls.
Recognize trends and patterns in call types and engage leadership with suggested solutions.
Accountable to meet and maintain established department production and quality standards, on both an individual and team basis.
Assist members with navigating the member portal while encouraging self‑sufficiency.
Demonstrate personal responsibility by meeting attendance and schedule adherence expectations.
Excel in a virtual work environment through active participation in team huddles, one‑on‑ones, instant messaging, or check‑ins.
Experience and Skills Desired
Minimum of 2 years customer service experience.
Knowledge of medical and insurance industry terminology including CPT/ICD‑10, HCPCS and revenue codes.
Excellent verbal and written communication; ability to articulate complex topics to a broad audience.
Comfortable performing in a fast‑paced, deadline‑oriented work environment.
Strong attention to detail and problem‑solving skills with a high level of accuracy.
Collaborate and support business and operational units such as Claims, Medical Management, Appeals and Grievance.
Proficient in Microsoft Office applications Word, Excel, Outlook, OneNote, etc.
Prior experience using a CRM, preferably Salesforce.
Bonus: fluency in Spanish.
Telecommuting Requirements
Dedicated work area separate from other living areas to ensure privacy.
Ability to keep all company sensitive documents secure.
Must live in the United States.
Must have a high‑speed internet connection/service.
Location and Benefits This is a remote position. Company business hours: weekdays 9‑5 CST. Full benefits package including health insurance, 401(k) matching, vision, dental, life, disability, and vacation.
Apex Benefits Overview Medical, dental, vision, life, disability and other insurance plans. Employee stock purchase program (ESPP) and 401(k) program with company match after 12 months. Health Savings Account (HSA) on HDHP plan. SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions. Corporate discount savings program and other discounts. On‑demand training program, certification prep and library of technical and leadership courses.
Equal Opportunity Employer Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.
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