Experienced Concierge Customer Service Representative – Remote Work Opportunity
Are you a customer service professional with a passion for delivering exceptional experiences? Do you thrive in a fast-paced, dynamic environment where no two days are the same? If so, we invite you to join careerzynith as a Concierge Customer Service Representative. In this role, you will be the face of our company, providing top-notch support to our clients and their members. As a remote worker, you will have the flexibility to work from the comfort of your own home, while still being part of a collaborative and innovative team.
**About careerzynith**
careerzynith is a leading provider of innovative solutions for the healthcare industry. With over 35 years of experience, we have established ourselves as a trusted partner for clients seeking to mitigate risk, improve quality care, and reduce healthcare expenditures. Our team of passionate and driven individuals is dedicated to delivering exceptional results and exceeding client expectations. If you're looking for a challenging and rewarding career, where you can make a real impact, then careerzynith is the perfect place for you.
**Job Summary**
As a Concierge Customer Service Representative, you will be responsible for providing exceptional customer service to our clients and their members. You will be the primary point of contact for customer inquiries, resolving issues and concerns in a timely and professional manner. Your expertise will be essential in building strong relationships with internal and external customers, while maintaining a high level of accuracy and attention to detail.
**Key Responsibilities**
* Respond to telephone and email inquiries 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 and responsibilities as assigned by management
**Requirements and Qualifications**
* High School Diploma or equivalent required; 2 years of college or higher education preferred
* One year of customer service or call center experience in a healthcare-related role
* Medical intake or Third-Party Administrator (TPA) experience preferred
* Bilingual English-Spanish a plus
* Strong customer relations, interpersonal skills, and ability to handle confidential and sensitive information
* Proficient with Microsoft applications and strong computer skills
* 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 accomplish projects, actions, and tasks
* Excellent verbal and written communication skills
* Independent judgment in decision making and problem solving
* Ability to multitask and 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 precertification a plus
**Skills and Competencies**
* Strong analytical and research skills
* Ability to work in a fast-paced, dynamic environment
* Excellent time management and organizational skills
* Ability to work independently and as part of a team
* Strong communication and interpersonal skills
* Ability to maintain confidentiality and handle sensitive information
* Strong problem-solving and decision-making skills
* Ability to adapt to changing priorities and deadlines
**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**
careerzynith offers a competitive salary range of $16.00 to $18.00 per hour. We also provide a comprehensive benefits package, including:
* Paid Time Off
* Medical, Dental, Vision
* Short and Long-Term Disability
* Life Insurance
* AD&D
* 401k with match
* Critical illness coverage
* Discount programs
**Equal Opportunity Employer**
careerzynith is an Equal Opportunity Employer, including disability/veterans. We are committed to creating a diverse and inclusive work environment that values and respects all employees.
**How to Apply**
If you're a motivated and customer-focused individual who is passionate about delivering exceptional experiences, then we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!
**Apply Now**
Don't miss out on this exciting role. We are looking forward to hearing from you. Apply now and take the first step towards a rewarding career with careerzynith.
Apply for this job
**About careerzynith**
careerzynith is a leading provider of innovative solutions for the healthcare industry. With over 35 years of experience, we have established ourselves as a trusted partner for clients seeking to mitigate risk, improve quality care, and reduce healthcare expenditures. Our team of passionate and driven individuals is dedicated to delivering exceptional results and exceeding client expectations. If you're looking for a challenging and rewarding career, where you can make a real impact, then careerzynith is the perfect place for you.
**Job Summary**
As a Concierge Customer Service Representative, you will be responsible for providing exceptional customer service to our clients and their members. You will be the primary point of contact for customer inquiries, resolving issues and concerns in a timely and professional manner. Your expertise will be essential in building strong relationships with internal and external customers, while maintaining a high level of accuracy and attention to detail.
**Key Responsibilities**
* Respond to telephone and email inquiries 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 and responsibilities as assigned by management
**Requirements and Qualifications**
* High School Diploma or equivalent required; 2 years of college or higher education preferred
* One year of customer service or call center experience in a healthcare-related role
* Medical intake or Third-Party Administrator (TPA) experience preferred
* Bilingual English-Spanish a plus
* Strong customer relations, interpersonal skills, and ability to handle confidential and sensitive information
* Proficient with Microsoft applications and strong computer skills
* 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 accomplish projects, actions, and tasks
* Excellent verbal and written communication skills
* Independent judgment in decision making and problem solving
* Ability to multitask and 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 precertification a plus
**Skills and Competencies**
* Strong analytical and research skills
* Ability to work in a fast-paced, dynamic environment
* Excellent time management and organizational skills
* Ability to work independently and as part of a team
* Strong communication and interpersonal skills
* Ability to maintain confidentiality and handle sensitive information
* Strong problem-solving and decision-making skills
* Ability to adapt to changing priorities and deadlines
**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**
careerzynith offers a competitive salary range of $16.00 to $18.00 per hour. We also provide a comprehensive benefits package, including:
* Paid Time Off
* Medical, Dental, Vision
* Short and Long-Term Disability
* Life Insurance
* AD&D
* 401k with match
* Critical illness coverage
* Discount programs
**Equal Opportunity Employer**
careerzynith is an Equal Opportunity Employer, including disability/veterans. We are committed to creating a diverse and inclusive work environment that values and respects all employees.
**How to Apply**
If you're a motivated and customer-focused individual who is passionate about delivering exceptional experiences, then we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!
**Apply Now**
Don't miss out on this exciting role. We are looking forward to hearing from you. Apply now and take the first step towards a rewarding career with careerzynith.
Apply for this job