EPISODE 15

Jordan Hooker on Why 90% Automation Still Demands Human Support in Healthcare

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About This Episode

Meet the Guest

Jordan Hooker leads customer experience at Axuall, a healthcare technology company focused on helping hospitals credential clinicians faster and more reliably. His work sits at the intersection of clinician workflows, regulatory compliance, and operational execution—where delays and errors have real downstream impact.

 

Jordan has spent over a decade building and running support teams in complex, high-stakes environments. He’s deeply focused on how support, product, and operations come together in practice, especially when systems break and teams are under pressure.

 

Alongside his operating role, Jordan hosts the Table Service Podcast, where he speaks with support and CX leaders about scaling teams, tooling decisions, and the realities of customer-facing work.

Before a doctor can see their first patient at a hospital, there’s a long, invisible process that has to go right.

Every license. Every background check. Every affiliation from past hospitals. Miss one file, delay one approval, and that clinician can’t practice. Patients wait. Admin teams scramble. Entire schedules get pushed back.

This is the world Jordan Hooker works in.

Jordan leads customer experience at Axuall, a healthcare technology company focused on one of the most complex workflows in the system: credentialing clinicians quickly, accurately, and in full compliance.

Traditionally, this process took months. Teams chased paperwork across hospitals, relied on fax and mail, and manually assembled files for credentialing committees. 

Axuall changed that by automating up to 90% of the work. Files move faster. Clinicians get approved sooner. Care starts earlier.

When something breaks mid-process, an incomplete application, a compliance question, or an approval stuck in limbo, automation runs out of answers. And in those moments, clinicians and hospital admins don’t want speed for the sake of speed. They want clarity. Context. Someone who understands exactly what’s blocking them and can take responsibility for fixing it.

In this episode of Experience Matters, Jordan joins Niraj, CEO of Hiver, to talk about what it really takes to support high-stakes workflows like credentialing. Where automation works. Where it fails. And why Axuall built a single, cross-trained support team to guide both clinicians and hospital admins through the entire process, end to end.

What this episode covers

  • How clinician credentialing actually works behind the scenes—and why even small delays can stall patient care.
  • Where automation meaningfully speeds up credentialing, and where it breaks down in regulated, high-stakes workflows.
  • Why Axuall chose a single, cross-trained support team to serve both clinicians and hospital credentialing teams.
  • What Jordan looks for when hiring support agents who operate under time pressure, compliance risk, and real-world consequences.
  • Why customer advisory boards fall short when only “friendly” voices are invited into the room.

Episode Transcript

00:03.76 — Niraj Ranjan Rout

Yes. So welcome, Jordan, to the podcast.

 

00:06.33 — Jordan Hooker

Thanks for having me.

 

00:08.48 — Niraj Ranjan Rout

Jordan, let’s start from the start. It would be great for everyone to know how you got interested in customer service and how you made this your calling.

 

00:26.74 — Jordan Hooker

It definitely was not the plan. I spent a few years post-college working in radio, doing news. I worked for a network where I was doing news every hour—an opportunity to do voice work that I hadn’t done before.

 

00:42.76 — Jordan Hooker

I’m a musician, as you can see from the instruments here. I’m used to being in front of people—talking and singing. I moved to Dallas from Tennessee hoping to get into a larger market.

 

01:04.73 — Jordan Hooker

No success. This was probably 2011 or 2012, and radio wasn’t doing great anyway. Through a family friend, I landed in a customer support seat for an early-stage startup working with nonprofits, and I quickly realized I really enjoyed it.

 

01:26.94 — Jordan Hooker

Getting on the phone with customers, walking through challenges, creating experiences—both before customers need support, and also when something doesn’t go right: how do you restore trust and confidence?

 

01:48.70 — Jordan Hooker

I also had a COO who invested a lot in me. That’s where I stuck. I’ve spent the last 12 years in customer support and customer experience, primarily for early-stage startups.

 

02:01.86 — Jordan Hooker

I spent a few years as a customer success manager at a larger company and didn’t enjoy it. I prefer the startup world—fast-paced, building from scratch.

 

02:14.59 — Jordan Hooker

For the last eight or so years, I’ve been running support organizations for early and mid-stage startups. I’m passionate about building great experiences and using customer learnings to drive business updates and product progress.

 

02:33.32 — Jordan Hooker

I’m also passionate about teaching everyone in the company—support or not—what it means to care about the customer. If that passion is there, everything else becomes easier.

 

03:01.81 — Niraj Ranjan Rout

Great background, Jordan. I’d love to get into Axwell—what you do there, and how your work has evolved.

 

03:04.75 — Jordan Hooker

Sure.

 

03:15.64 — Jordan Hooker

Axwell is focused in the healthcare data world. Our mission is to ensure clinicians can spend the most time with patients and serve them in the best way possible.

 

03:15.64 — Jordan Hooker

Our primary product is credentialing. We use automation to help hospitals and healthcare staffing organizations credential doctors and clinicians as quickly as possible. If you’re a physician affiliating with a hospital, you have to go through a very intense background and credentialing process.

 

04:06.09 — Jordan Hooker

Traditionally, credentialing offices would spend days or weeks calling other hospitals and organizations, collecting files via mail and fax, and building a complete folder to take to a credentialing committee for approval.

 

04:39.91 — Jordan Hooker

We’ve automated a significant portion of that. Credentialing offices send an invite to a clinician, the clinician provides some information, and our system pulls the rest via API. We’ve automated roughly 90% to 97% of those files.

 

05:07.77 — Jordan Hooker

Time to complete a file and get a clinician approved has dropped by about half in most cases.

 

05:18.67 — Jordan Hooker

Historically, it might take about 90 days from start to finish to get someone in front of patients. For most of our customers now, it’s much faster—better patient experience, better clinician experience, better hospital experience. And revenue starts sooner.

 

05:46.36 — Jordan Hooker

My role is building the experience on two sides.

 

05:55.62 — Jordan Hooker

For admins in credentialing offices using our tool: helping them accomplish what they need, and troubleshooting when something goes wrong.

 

06:07.91 — Jordan Hooker

For clinicians using our system: guiding them through the workflow end to end. If they leave the application without completing it, they often don’t come back. So my team provides white-glove support to get them from start to finish and submit everything.

 

06:42.60 — Jordan Hooker

That’s what I’m building at Axwell in our support organization.

 

06:47.60 — Niraj Ranjan Rout

So you have two key stakeholders: clinicians getting credentialed, and hospitals or organizations credentialing them. And your team supports both.

 

07:05.70 — Jordan Hooker

Correct.

 

07:11.65 — Niraj Ranjan Rout

How do you structure your team? Same folks supporting both, or do you split responsibilities?

 

07:22.24 — Jordan Hooker

It’s a strange model because it’s B2B, but also B2B-to-C. We support both sides connected to the same customer org.

 

07:37.67 — Jordan Hooker

Right now, we have the same team members supporting most things. We’re a Series B startup, so we run lean.

 

07:37.67 — Jordan Hooker

Tier one triage has two team members and resolves about 60% of tickets.

 

08:02.66 — Jordan Hooker

Tier two is support engineering, handling about 30%—more technical issues, digging deeper when needed.

 

08:17.86 — Jordan Hooker

The last 10% to 15% escalates to engineering outside support.

 

08:17.86 — Jordan Hooker

Long term, we may move to specialists for clinicians vs admins, but today everyone is cross-trained.

 

08:58.88 — Niraj Ranjan Rout

Jordan, can you hear me?

 

08:58.98 — Jordan Hooker

Got it. I can see you. Can you hear me?

 

00:01.74 — Niraj Ranjan Rout

Yeah.

 

00:04.89 — Jordan Hooker

We’re a Series B startup and have a lean team, so most of my team is cross-trained to support both admins and clinicians.

 

00:19.70 — Jordan Hooker

Tier one triage resolves about 60% of tickets.

 

00:36.52 — Jordan Hooker

Tier two support engineering handles about 30% and can dig deeper technically.

 

00:47.72 — Jordan Hooker

The last ~10% escalates to engineering outside support. Over time, we may specialize more, but for now this model works well.

 

01:16.84 — Niraj Ranjan Rout

When hiring support profiles, you need problem-solving and soft skills. How do you test and assess for both?

 

02:12.01 — Jordan Hooker

It’s absolutely a challenge. Often you’re looking for someone strong technically and strong on empathy and communication—sometimes that’s a unicorn.

 

02:42.51 — Jordan Hooker

I prioritize soft skills first. We can teach most technical skills. I’m looking for clarity, empathy, and communication—whether they explain things in a way that helps or confuses.

 

03:17.74 — Jordan Hooker

I also look for whether they can identify the “question under the question” and resolve things in a way that prevents follow-up confusion.

 

03:40.14 — Jordan Hooker

For tier one, I want people who can handle high volume, manage multiple conversations, and feel energized by that work.

 

04:11.02 — Jordan Hooker

For tier two, I look for someone who’s already spent time on the desk and has grown technical skills—this isn’t entry-level. They need customer-facing experience plus technical depth from day one.

 

04:49.80 — Niraj Ranjan Rout

Any learnings on assessing soft skills convincingly?

 

05:02.12 — Jordan Hooker

For technical assessment, I bring in additional resources since I’m a non-technical leader. We do some practical testing, but not hours of work. We assess quickly: can they explain it, show examples, talk through their thinking?

 

05:57.31 — Jordan Hooker

For soft skills, you can often tell through conversation and writing—how they communicate in interviews, over email, and how clearly they write.

 

06:36.54 — Jordan Hooker

I also watch whether they pause and listen. A strong support agent shouldn’t be forming an answer while the customer is still explaining. Interviews are nerve-wracking, so we give grace, but it shows up.

 

07:22.68 — Niraj Ranjan Rout

Switching gears—your consulting work. What mistakes do you spot quickly?

 

07:50.89 — Jordan Hooker

Two patterns. One: they don’t hire a senior leader early enough. Founders do support, then they hire too junior, and it never becomes a solid foundation.

 

08:37.84 — Jordan Hooker

If you want a strong foundation, bring in someone with demonstrated success building and scaling support early.

 

09:14.10 — Jordan Hooker

Otherwise you get cycles of promotions based on tenure, churn, re-hiring—and the root problem never gets fixed.

 

09:32.11 — Jordan Hooker

Second: tooling. Early-stage companies over-invest in complex tooling too early.

 

09:59.99 — Jordan Hooker

The priority early is simplicity—workflows and processes your team actually needs. Tools should grow with you.

 

10:13.51 — Jordan Hooker

Many teams start with Zendesk or Intercom because the package is attractive, then they build too much without expertise. Two years later, it’s tangled, and you’re forced to rebuild at a critical growth stage.

 

11:31.47 — Jordan Hooker

So the two biggest issues: hiring too junior of a leader too late, and investing too much in tooling too early.

 

11:45.93 — Niraj Ranjan Rout

How do you solve these—full reset or gradual?

 

11:53.49 — Jordan Hooker

It depends. Some need a full reset. Others need gradual change.

 

12:05.32 — Jordan Hooker

Many don’t realize how deep the issue is until they hear the recommendation to tear down and rebuild. Learning to have those conversations is key.

 

12:43.62 — Jordan Hooker

Some customers already know everything is broken. Those are easier—you can start immediately.

 

13:01.02 — Jordan Hooker

Typically we start with team interviews, customer interviews if possible, and then deep tool/config review: best practices, pain points, and where process changes are needed.

 

13:43.25 — Niraj Ranjan Rout

What’s the typical timeline to implement and get things stable?

 

13:53.03 — Jordan Hooker

Depends on how much damage was done and how much change the org can absorb.

 

14:18.27 — Jordan Hooker

If they’re cautious because of funding, growth, or runway, it can take longer.

 

14:43.87 — Jordan Hooker

But generally, you can build a solid foundation in about three to six months—depending on willingness to move fast, let go of “we’ve always done it this way,” and change what people are attached to.

 

15:36.55 — Niraj Ranjan Rout

Customer advisory boards—how to do them effectively?

 

15:50.18 — Jordan Hooker

Two aspects are critical. First: you have to do it. It’s uncomfortable, especially when you know things are wrong.

 

16:19.11 — Jordan Hooker

There’s also fear of putting customers together and having them compare notes—or consider other solutions. But you still need to do it.

 

16:38.00 — Jordan Hooker

Second: don’t be afraid to bring in challenging voices. Advisory boards are often filled with “friendly” customers. That limits change.

 

17:27.50 — Jordan Hooker

Third: don’t treat it like a checkbox. Act on feedback quickly and clearly. If you wait a year, customers won’t care. They want to see movement.

 

18:13.36 — Niraj Ranjan Rout

Lastly—AI and its impact on customer service.

 

18:34.60 — Jordan Hooker

AI has been both exciting and frustrating. A lot of tools are snake oil—shaky foundations, big promises, little delivery.

 

19:25.03 — Jordan Hooker

The diamonds in the rough are tools designed to augment humans, built by people who’ve actually worked in support.

 

19:55.26 — Jordan Hooker

When customers interact with AI, the experience should be as good as interacting with a human—brand voice matched, empathetic, and clear.

 

20:32.19 — Jordan Hooker

When money’s on the line or emotions are high, people want a human. AI should add value without removing that option.

 

21:02.25 — Jordan Hooker

I also believe in rolling it out slowly. Going slow helps you build something high quality without disrupting the ecosystem.

 

21:16.29 — Niraj Ranjan Rout

Have you found tools that meet that bar?

 

21:27.43 — Jordan Hooker

Yes. We use Intercom—we’re a brand new Intercom shop—and we’ve had a good experience since going live.

 

22:02.30 — Jordan Hooker

Yetto is another one: built by support professionals for support professionals.

 

22:15.39 — Jordan Hooker

Sinkly is strong for sentiment analysis and QA at scale. We can’t manually QA every conversation, so having something reliable there has been valuable.

 

22:54.57 — Niraj Ranjan Rout

That’s all the questions I had. Great talking to you.

 

23:02.44 — Jordan Hooker

Thanks so much for having me. This was a great conversation.

 

23:05.57 — Niraj Ranjan Rout

Thank you.

 

23:06.45 — Jordan Hooker

Thanks.

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