Experienced Call Center Customer Service Representative - Healthcare Eligibility & Claims Specialist at careerzynith
**Job Summary:**
Join the rapidly growing careerzynith team as an Experienced Call Center Customer Service Representative - Healthcare Eligibility & Claims Specialist. As a key member of our customer service team, you will be responsible for providing exceptional service to our healthcare members, ensuring their needs are met, and resolving any issues promptly. If you have a passion for delivering top-notch customer service, a strong background in healthcare, and a desire to work in a dynamic and supportive environment, we encourage you to apply for this exciting opportunity.
**About careerzynith:**
careerzynith is a leading healthcare benefit services company that provides innovative solutions to make complex health plans work for its members. Our mission is to eliminate surprises in our members' healthcare coverage by providing transparent, efficient, and personalized service. With a strong focus on customer satisfaction, we strive to build long-term relationships with our members, providers, and partners.
**Job Overview:**
As an Experienced Call Center Customer Service Representative - Healthcare Eligibility & Claims Specialist, you will be responsible for:
* Answering phone calls promptly and professionally, responding to member inquiries, and resolving any issues in a timely and efficient manner
* Confirming benefits and eligibility, and providing accurate information to members
* Reading and understanding Benefit Overviews, Explanation of Benefits (EOBs), and other relevant documents
* Responding to claim inquiries via phone and email, and resolving any issues related to claims processing
* Meeting and adhering to all Key Performance Indicator (KPI) metrics, including call volume, resolution rates, and member satisfaction
* Completing daily tasks in between calls, including data entry, documentation, and other administrative duties
* Adhering to all policies and procedures, including HIPAA requirements
**Why Join careerzynith:**
* 100% remote, work-from-home position, allowing you to work from the comfort of your own home
* Comprehensive benefits package, including medical, vision, and dental insurance, available on day 1 of employment
* In-depth training program to guarantee your success in your position
* Fast-growing company with opportunities for advancement and professional growth
* Supportive team-based workplace with a focus on collaboration and teamwork
* 3 weeks of paid time off plus 8 paid company holidays
* Monday-Friday position, with no weekends or overtime required
* Competitive hourly rate of $17.00 - $19.00 per hour
**Requirements:**
* 1 year of experience working in health insurance, preferably in a call center or customer service role
* High level of organization, reliability, and attention to detail, with a strong ability to multitask and prioritize tasks
* Phone-based customer service call center experience, with a high call volume and a strong ability to handle multiple calls simultaneously
* Comfortable working with technology, including computer software and hardware
* Exceptional verbal and written communication skills, with a strong ability to build rapport with a wide range of people
* Outstanding track record of attendance and adherence to schedule, with a strong ability to work independently and manage your time effectively
* Quiet and private home working environment, with reliable high-speed Internet access required
* Self-starter with a strong ability to demonstrate working independently and taking initiative
**Personal Attributes Needed for Success:**
* Ability to build rapport with a wide range of people, including members, providers, and colleagues
* Excellent follow-up and follow-through skills, with a strong ability to resolve issues and meet deadlines
* Strong desire to be of service and assist others, with a focus on delivering exceptional customer service
* Motivated by being in a supportive role and contributing to team success, with a strong ability to work collaboratively with others
* Bilingual skills a plus, with proficiency in English and Spanish, English and Chinese, English and Mandarin, or English and Russian
* Familiarity with Indemnity Plans a plus, with a strong understanding of the benefits and requirements of these plans
**Benefits:**
* 401(k) plan with matching contributions
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Referral program
**Schedule:**
* 8 hour shift, Monday to Friday
* Day shift, with no weekends or overtime required
**Application Question(s):**
* Do you have any familiarity with Indemnity Plans?
**Experience:**
* Call Center/Heavy Phone: 1 year (Required)
* Medical Insurance: 1 year (Required)
* Customer Service: 1 year (Required)
**Work Location:**
* Remote, with the ability to work from the comfort of your own home
If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity to join the careerzynith team.
Apply for this job
Join the rapidly growing careerzynith team as an Experienced Call Center Customer Service Representative - Healthcare Eligibility & Claims Specialist. As a key member of our customer service team, you will be responsible for providing exceptional service to our healthcare members, ensuring their needs are met, and resolving any issues promptly. If you have a passion for delivering top-notch customer service, a strong background in healthcare, and a desire to work in a dynamic and supportive environment, we encourage you to apply for this exciting opportunity.
**About careerzynith:**
careerzynith is a leading healthcare benefit services company that provides innovative solutions to make complex health plans work for its members. Our mission is to eliminate surprises in our members' healthcare coverage by providing transparent, efficient, and personalized service. With a strong focus on customer satisfaction, we strive to build long-term relationships with our members, providers, and partners.
**Job Overview:**
As an Experienced Call Center Customer Service Representative - Healthcare Eligibility & Claims Specialist, you will be responsible for:
* Answering phone calls promptly and professionally, responding to member inquiries, and resolving any issues in a timely and efficient manner
* Confirming benefits and eligibility, and providing accurate information to members
* Reading and understanding Benefit Overviews, Explanation of Benefits (EOBs), and other relevant documents
* Responding to claim inquiries via phone and email, and resolving any issues related to claims processing
* Meeting and adhering to all Key Performance Indicator (KPI) metrics, including call volume, resolution rates, and member satisfaction
* Completing daily tasks in between calls, including data entry, documentation, and other administrative duties
* Adhering to all policies and procedures, including HIPAA requirements
**Why Join careerzynith:**
* 100% remote, work-from-home position, allowing you to work from the comfort of your own home
* Comprehensive benefits package, including medical, vision, and dental insurance, available on day 1 of employment
* In-depth training program to guarantee your success in your position
* Fast-growing company with opportunities for advancement and professional growth
* Supportive team-based workplace with a focus on collaboration and teamwork
* 3 weeks of paid time off plus 8 paid company holidays
* Monday-Friday position, with no weekends or overtime required
* Competitive hourly rate of $17.00 - $19.00 per hour
**Requirements:**
* 1 year of experience working in health insurance, preferably in a call center or customer service role
* High level of organization, reliability, and attention to detail, with a strong ability to multitask and prioritize tasks
* Phone-based customer service call center experience, with a high call volume and a strong ability to handle multiple calls simultaneously
* Comfortable working with technology, including computer software and hardware
* Exceptional verbal and written communication skills, with a strong ability to build rapport with a wide range of people
* Outstanding track record of attendance and adherence to schedule, with a strong ability to work independently and manage your time effectively
* Quiet and private home working environment, with reliable high-speed Internet access required
* Self-starter with a strong ability to demonstrate working independently and taking initiative
**Personal Attributes Needed for Success:**
* Ability to build rapport with a wide range of people, including members, providers, and colleagues
* Excellent follow-up and follow-through skills, with a strong ability to resolve issues and meet deadlines
* Strong desire to be of service and assist others, with a focus on delivering exceptional customer service
* Motivated by being in a supportive role and contributing to team success, with a strong ability to work collaboratively with others
* Bilingual skills a plus, with proficiency in English and Spanish, English and Chinese, English and Mandarin, or English and Russian
* Familiarity with Indemnity Plans a plus, with a strong understanding of the benefits and requirements of these plans
**Benefits:**
* 401(k) plan with matching contributions
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Referral program
**Schedule:**
* 8 hour shift, Monday to Friday
* Day shift, with no weekends or overtime required
**Application Question(s):**
* Do you have any familiarity with Indemnity Plans?
**Experience:**
* Call Center/Heavy Phone: 1 year (Required)
* Medical Insurance: 1 year (Required)
* Customer Service: 1 year (Required)
**Work Location:**
* Remote, with the ability to work from the comfort of your own home
If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity to join the careerzynith team.
Apply for this job