Experienced Clinical Customer Service Representative – Remote Healthcare Support

Remote Full-time
Join careerzynith, a leading healthcare organization dedicated to empowering individuals to live healthier and longer, as a Clinical Customer Service Representative. This is an exciting opportunity to make a tangible difference in the lives of our members while working in a dynamic, remote environment. As a key member of our high-volume call center team, you will play a vital role in providing exceptional customer service nationwide for our specialty network programs.

**About careerzynith**

careerzynith is a forward-thinking organization that prioritizes innovation, collaboration, and employee growth. Our mission is to deliver exceptional healthcare solutions that meet the unique needs of our members. We believe in fostering a culture of inclusivity, respect, and open communication, where every team member feels valued and empowered to contribute their best work.

**The Role**

As a Clinical Customer Service Representative, you will be responsible for providing top-notch customer service to our members, responding to their inquiries, and addressing their concerns in a professional, accurate, and timely manner. You will be the primary point of contact for our members, and your exceptional communication skills, attention to detail, and problem-solving abilities will make a significant impact on their experience.

**Responsibilities**

* Answer incoming calls in a professional, accurate, timely, and courteous manner
* Ascertain the nature of the call and record information in the Communication Log
* Look up member information using proprietary careerzynith systems and provide information to the caller
* Forward logs requiring further research to the appropriate department
* Transfer callers to the appropriate queue if the question is of a more complex issue (claims, authorizations, etc.)
* Utilize appropriate resources, including those online, to provide timely responses
* Manage time to ensure calls are answered within required timeframes and appropriate follow-up is done in a timely manner
* Meet or exceed minimum key job accountabilities established for the Customer Service Representative position
* Document all calls appropriately
* Attend weekly staff and other meetings to discuss issues and foster teamwork among department personnel
* Respond to requests for internal and external customers and/or clients, as required

**Qualifications**

* High school diploma or equivalent required
* Minimum of one year of experience performing customer service duties; inbound call center experience preferred
* Basic computer skills
* Strong verbal communication skills

**Core Competencies**

* Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships
* Ability to display excellent customer service to meet the needs and expectations of both internal and external customers
* Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment
* Ability to effectively organize, prioritize, multi-task, and manage time
* Demonstrated accuracy and productivity in a changing environment with constant interruptions
* Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions
* Ability to exercise strict confidentiality in all matters

**Mobility and Physical Requirements**

* Primarily sedentary, able to sit for long periods of time
* Ability to speak, see, and hear other personnel and/or objects
* Ability to communicate both in oral and written form
* Ability to travel within the facility
* Capable of using a telephone and computer keyboard
* Ability to lift up to 10 lbs

**Environmental Conditions**

* Work-from-home (WFH) environment

**Compensation and Benefits**

* Starting pay at $15/hour with potential of $16/hour within the first year, plus merit
* Additional bonus opportunities based on meeting Key Job Accountabilities (KJA) after 6, 12, and 24 months
* Comprehensive benefits package, including medical, dental, and vision insurance
* 401(k) retirement plan with company match
* Paid time off and holidays
* Opportunities for professional growth and development

**Career Growth Opportunities and Learning Benefits**

* careerzynith is committed to the growth and development of our team members
* Opportunities for advancement and professional growth within the company
* Access to training and development programs to enhance your skills and knowledge
* Collaborative and supportive work environment that encourages open communication and feedback

**Work Environment and Company Culture**

* careerzynith is a dynamic and innovative organization that values diversity, equity, and inclusion
* Collaborative and supportive work environment that encourages open communication and feedback
* Opportunities for professional growth and development
* Comprehensive benefits package, including medical, dental, and vision insurance
* 401(k) retirement plan with company match
* Paid time off and holidays

**How to Apply**

If you are a motivated and customer-focused individual who is passionate about delivering exceptional healthcare solutions, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our online portal.

**Equal Employment Opportunity**

careerzynith is an Equal Opportunity/Affirmative Action Employer. We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all team members. We welcome applications from qualified individuals from diverse backgrounds and perspectives.

**Accommodations for Individuals with Disabilities**

careerzynith is committed to providing reasonable accommodations for individuals with disabilities. If you require an accommodation to apply for this position, please contact our Human Resources Department at (800) 848-3555 x6702.

**Pay Transparency**

careerzynith is committed to pay transparency and compliance with all applicable laws and regulations. We will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

**Apply Now**

Don't miss this opportunity to make a significant impact in the lives of our members. Apply now and take the first step towards a rewarding new role with careerzynith.

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