Experienced Concierge Customer Service Representative – Remote Opportunity at careerzynith
At careerzynith, we are committed to delivering exceptional customer experiences that exceed our clients' expectations. As a key member of our customer service team, the Concierge Customer Service Representative will play a vital role in providing top-notch support to our valued customers. If you possess excellent communication skills, a passion for problem-solving, and a knack for building strong relationships, we encourage you to apply for this exciting opportunity.
**About careerzynith**
careerzynith is a leading provider of innovative solutions in the healthcare industry. Our mission is to empower individuals and organizations to achieve their goals through cutting-edge technology, expert guidance, and unparalleled customer support. With a strong focus on collaboration, innovation, and customer satisfaction, we strive to make a positive impact on the lives of our clients and their customers.
**Job Summary**
We are seeking an experienced Concierge Customer Service Representative to join our remote team. As a Concierge Customer Service Representative, you will be responsible for providing exceptional customer service to our clients, responding to inquiries, and resolving complex issues in a timely and professional manner. If you are a customer-focused individual with a strong work ethic and a passion for delivering outstanding results, we encourage you to apply for this exciting opportunity.
**Key Responsibilities**
* Respond to telephone and email inquiries received from members and providers within defined service standards
* Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers
* Assist members with benefits and healthcare questions
* Document all calls received in system-based call log
* Perform other duties as assigned by management
**Requirements and Qualifications**
* **Education:** Minimum HS Diploma/GED, 2 years college or higher education preferred
* **Experience:** One year Customer Service/Call Center experience in a healthcare-related role, with a strong preference for Medical Intake or Third-Party Administrator (TPA) experience
* **Language Skills:** Bilingual English-Spanish a plus
* **Skills and Competencies:**
+ Patience and ability to handle difficult situations tactfully and diplomatically
+ Strong customer relations, interpersonal skills
+ Strong appreciation and ability to handle confidential & sensitive information
+ Proficient with Microsoft applications, strong computer skills and computer navigation
+ Excellent data entry and typing skills
+ Knowledge of provider organizations and networks
+ Knowledge and understanding of CMS Medicare reimbursement rates
+ Ability to effectively negotiate rate structures
+ Takes initiative to resolve situations and to accomplish projects actions and tasks
+ Excellent verbal and written communication skills
+ Independent judgment in decision making and problem solving
+ Ability to multi-task & anticipate potential needs/problems
+ Ability to build relationships with internal and external customers
+ Medical Terminology
+ Strong attention to detail
+ Understanding of Self-Funded health benefits a plus
+ Claim processing skills a plus
+ Insurance verification or pre-certification a plus
+ Provider office/facility billing department or financial area
+ Strong analytical and research skills
**Work Environment and Physical Demands**
This position is in a typical office/home office environment, which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including operation of standard computer and phone equipment.
**Compensation and Benefits**
The pay range for this position is $16.00 to $18.00. careerzynith offers a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.
**Career Growth Opportunities and Learning Benefits**
At careerzynith, we are committed to helping our employees grow and develop their careers. We offer a range of training and development programs, including on-the-job training, mentorship, and professional certification opportunities. Our employees also have access to a range of benefits, including tuition reimbursement, flexible work arrangements, and employee recognition programs.
**Company Culture**
careerzynith is a dynamic and fast-paced organization that values innovation, collaboration, and customer satisfaction. We are committed to creating a work environment that is inclusive, diverse, and supportive of our employees' needs. Our employees are passionate about delivering exceptional results and making a positive impact on the lives of our clients and their customers.
**How to Apply**
If you are a motivated and customer-focused individual with a strong work ethic and a passion for delivering outstanding results, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your qualifications and experience. We look forward to hearing from you!
Apply Now!
Apply for this job
**About careerzynith**
careerzynith is a leading provider of innovative solutions in the healthcare industry. Our mission is to empower individuals and organizations to achieve their goals through cutting-edge technology, expert guidance, and unparalleled customer support. With a strong focus on collaboration, innovation, and customer satisfaction, we strive to make a positive impact on the lives of our clients and their customers.
**Job Summary**
We are seeking an experienced Concierge Customer Service Representative to join our remote team. As a Concierge Customer Service Representative, you will be responsible for providing exceptional customer service to our clients, responding to inquiries, and resolving complex issues in a timely and professional manner. If you are a customer-focused individual with a strong work ethic and a passion for delivering outstanding results, we encourage you to apply for this exciting opportunity.
**Key Responsibilities**
* Respond to telephone and email inquiries received from members and providers within defined service standards
* Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers
* Assist members with benefits and healthcare questions
* Document all calls received in system-based call log
* Perform other duties as assigned by management
**Requirements and Qualifications**
* **Education:** Minimum HS Diploma/GED, 2 years college or higher education preferred
* **Experience:** One year Customer Service/Call Center experience in a healthcare-related role, with a strong preference for Medical Intake or Third-Party Administrator (TPA) experience
* **Language Skills:** Bilingual English-Spanish a plus
* **Skills and Competencies:**
+ Patience and ability to handle difficult situations tactfully and diplomatically
+ Strong customer relations, interpersonal skills
+ Strong appreciation and ability to handle confidential & sensitive information
+ Proficient with Microsoft applications, strong computer skills and computer navigation
+ Excellent data entry and typing skills
+ Knowledge of provider organizations and networks
+ Knowledge and understanding of CMS Medicare reimbursement rates
+ Ability to effectively negotiate rate structures
+ Takes initiative to resolve situations and to accomplish projects actions and tasks
+ Excellent verbal and written communication skills
+ Independent judgment in decision making and problem solving
+ Ability to multi-task & anticipate potential needs/problems
+ Ability to build relationships with internal and external customers
+ Medical Terminology
+ Strong attention to detail
+ Understanding of Self-Funded health benefits a plus
+ Claim processing skills a plus
+ Insurance verification or pre-certification a plus
+ Provider office/facility billing department or financial area
+ Strong analytical and research skills
**Work Environment and Physical Demands**
This position is in a typical office/home office environment, which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including operation of standard computer and phone equipment.
**Compensation and Benefits**
The pay range for this position is $16.00 to $18.00. careerzynith offers a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.
**Career Growth Opportunities and Learning Benefits**
At careerzynith, we are committed to helping our employees grow and develop their careers. We offer a range of training and development programs, including on-the-job training, mentorship, and professional certification opportunities. Our employees also have access to a range of benefits, including tuition reimbursement, flexible work arrangements, and employee recognition programs.
**Company Culture**
careerzynith is a dynamic and fast-paced organization that values innovation, collaboration, and customer satisfaction. We are committed to creating a work environment that is inclusive, diverse, and supportive of our employees' needs. Our employees are passionate about delivering exceptional results and making a positive impact on the lives of our clients and their customers.
**How to Apply**
If you are a motivated and customer-focused individual with a strong work ethic and a passion for delivering outstanding results, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your qualifications and experience. We look forward to hearing from you!
Apply Now!
Apply for this job