Paradigm · 2 days ago
Customer Service Associate
Tampa, FL
Part-time
Onsite
Entry Level
1+ years expParadigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The Provider Customer Service Associate serves as a primary point of contact for healthcare providers, ensuring timely, accurate, and empathetic resolution of inquiries related to bill review, payment status, and claims processing.
Health CareHospitalMedical
Responsibilities
Serve as initial point of contact for provider inquiries, demonstrating professionalism, empathy, and a commitment to resolution
Respond to incoming provider calls with a focus on understanding concerns related to bill review, payment status, and claims processing
Research complex issues across multiple systems and departments to identify root causes and determine appropriate resolutions
Collaborate with internal teams (e.g. Billing, Bill Review, Finance) to resolve provider issues efficiently and accurately
Take ownership of cases from intake to resolution, ensuring timely and thorough follow-up and provider satisfaction
Support manager in identifying trends in provider inquiries and escalate systemic issues or process gaps to leadership
Support continuous improvement initiatives by providing feedback on provider pain points and workflow inefficiencies
Support team development by sharing best practices and assisting with informal training
Maintain up-to-date knowledge of billing guidelines, payment policies, and system workflows to ensure accurate and informed responses
Document all interactions and resolutions in CRM system in accordance with standard operating procedures and audit standards
Meet department standards for productivity, including average calls per hour, average handling & wrap up time, abandoned and rejected call stats and passing QA scores
Comply with and adhere to all regulatory compliance areas, policies and procedures and best practices
Understand and comply with all HIPAA & SOC2 requirements necessary in working with designated PHI
Perform additional support functions as needed
Maintain reliable and predictable attendance during scheduled work hours
Adhere to Company policies and procedures on attendance, including requests for planned time off, reporting sickness, start time and break times
Responsible for complying with Paradigm Information Security requirements and policies, for safeguarding Paradigm or Paradigm related passwords, and for notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management
Qualification
Required
Minimum 1 year of experience in a high-volume contact center within a healthcare or medical billing environment
Proven ability to own and resolve complex inquiries independently, including escalated or sensitive provider issues
Strong focus on first-call resolution, with the ability to assess, troubleshoot, and resolve issues without unnecessary handoffs
Skilled in de-escalating tense or frustrated interactions with professionalism, empathy, and confidence
Demonstrated ability to navigate multiple systems and synthesize information to provide accurate, timely responses
Experience collaborating cross-functionally with internal departments to resolve multi-layered issues
Excellent written and verbal communication skills, with the ability to tailor messaging to diverse audiences
Excellent organizational and prioritization skills, with ability to multi-task; strong problem solving and decision-making skills
Excellent computer skills (e.g., Outlook, Teams, to be trained on proprietary software); standard office equipment including phones, scanners, laptop/PC, copiers, various computer programs, etc. Proficient in contact center software and telephony systems
High level of attention to detail, accuracy, and documentation quality
Ability to support junior team members, share best practices, and contribute to a positive team culture
Proficiency in Microsoft Office Suite (Outlook, Teams, Excel, Word) and CRM platforms
Strong organizational and time management skills; ability to manage competing priorities in a fast-paced environment
Commitment to compliance standards, including HIPAA, SOC2, and internal IT security protocols
Able to cooperate and work cohesively with all co-workers, management, and external customers. Able to plan and complete job duties with minimal supervisory direction, utilize sound judgment, tact, diplomacy, and compassion in verbal and written communication
Ensure confidentiality of all data, including injured worker's demographics, employee, and operations data
Able to complete requirements for in-service training
Ability to work at a fast pace in a rapidly changing environment; high level of flexibility and ability to adapt to the changing needs of the business
Self-starter, ability to work with minimal supervision
Preferred
Familiarity with medical terminology desired
Experience in workers' compensation billing is preferred but not required
Benefits
Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
Financial incentives – Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.
Company
Paradigm
Paradigm achieves leading clinical and financial results for catastrophic and complex claims.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Neuberger Berman Capital Solutions
2025-07-02Private Equity
2018-09-20Acquired
Leadership Team
D
D. Nathan
Founder
Recent News
2025-12-10
2025-07-02
Company data provided by crunchbase