Experienced Bilingual Customer Service Representative (REMOTE) – Healthcare Industry

Remote Full-time
At careerzynith, we're dedicated to delivering exceptional customer experiences that exceed our clients' expectations. As a key member of our Employer Solutions Call Center team, you'll play a vital role in providing top-notch support to patients and families navigating the healthcare system. If you're passionate about delivering world-class service, have a flair for languages, and are eager to join a dynamic team, we want to hear from you!

**About careerzynith**

careerzynith is a leading provider of innovative solutions and services that empower individuals, families, and communities to thrive. With a legacy of over 20 years, we've built a reputation for excellence, compassion, and dedication to making a meaningful difference in the lives of those we serve. Our team of 80,000+ professionals, working across North America, Europe, and Asia, is united by a shared passion for delivering exceptional results and driving positive change.

**Job Summary**

We're seeking a highly skilled and bilingual Customer Service Representative to join our Employer Solutions Call Center team. As a key point of contact for patients and families, you'll be responsible for providing empathetic, informative, and timely support related to prior authorizations, level of care determinations, PASRR placement screenings, and personal care service intake. Your exceptional communication skills, attention to detail, and ability to navigate complex systems will make you an invaluable asset to our team.

**Key Responsibilities**

* Answer incoming phone calls from patients and families, providing empathetic and informative support related to prior authorizations, level of care determinations, PASRR placement screenings, and personal care service intake.
* Follow established guidelines and quality programs to ensure accurate and timely resolution of customer inquiries.
* Utilize DE and all applicable systems to procure necessary program details and communicate accurate information to callers.
* Maintain accurate records and documentation of customer interactions, ensuring compliance with regulatory requirements.
* Process incoming Level 1 documents and maintain quality performance in processing.
* Collaborate with internal stakeholders to resolve complex customer issues and ensure seamless service delivery.
* Meet or exceed performance metrics, including call talk times, quality scores, and customer satisfaction ratings.

**Work Conditions and Physical Demands**

* Primarily sedentary work in a general office environment, with occasional extended hours based on special business needs.
* Ability to communicate and exchange information with patients, families, and internal stakeholders.
* Ability to comprehend and interpret documents and data, including medical records and system reports.
* Requires manual dexterity to use computer, telephone, and double monitors.

**Minimum Education and Experience**

* High School Diploma or GED required; additional education preferred.
* 2+ years of call center experience, with a proven track record of delivering exceptional customer service.
* Demonstrated ability to function between two departments, handling incoming calls and resolving complex customer issues.

**Additional Skills and Qualifications**

* IDEAL Candidate: 6 months to 1 year of call center experience, with a strong focus on customer service and a willingness to learn and grow.
* Open to candidates with strong customer service experience in retail or restaurant settings, with a proven track record of delivering excellent service and a desire to transition into a call center environment.

**Experience Level**

* Entry Level

**Pay and Benefits**

* The pay range for this position is $15.00 - $16.00/hr.
* Eligibility requirements apply to some benefits, and may depend on job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include:
+ Medical, dental & vision
+ Critical Illness, Accident, and Hospital
+ 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
+ Life Insurance (Voluntary Life & AD&D for the employee and dependents)
+ Short and long-term disability
+ Health Spending Account (HSA)
+ Transportation benefits
+ Employee Assistance Program
+ Time Off/Leave (PTO, Vacation or Sick Leave)

**Workplace Type**

* This is a fully remote position, with the flexibility to work from home and manage your schedule.

**Application Deadline**

* This position is anticipated to close on Feb 18, 2025.

**Why Join careerzynith?**

* Opportunity to work with a leading provider of innovative solutions and services in the healthcare industry.
* Collaborative and dynamic team environment, with a focus on delivering exceptional customer experiences.
* Comprehensive benefits package, including medical, dental, and vision coverage, as well as 401(k) retirement plan and life insurance.
* Flexible work arrangements, including remote work options and flexible scheduling.
* Opportunities for professional growth and development, with training and support to help you succeed in your role.

**How to Apply**

If you're passionate about delivering exceptional customer service and have a flair for languages, we want to hear from you! Apply now to join our Employer Solutions Call Center team and become a part of the careerzynith family.

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