Experienced Customer Service Representative I - Remote
**Join careerzynith, a leading healthcare solutions provider, in shaping the future of patient care and customer experience. As an Experienced Customer Service Representative I, you will be at the forefront of delivering exceptional service to our clients, providers, and members.**
**About careerzynith**
careerzynith is a renowned healthcare solutions provider, dedicated to empowering our clients to excel in the ever-evolving healthcare landscape. With a rich history of innovation and expertise, we have established ourselves as a trusted partner for healthcare organizations across the nation. Our mission is to revolutionize the way healthcare services are delivered, making it more accessible, efficient, and patient-centric.
**Job Summary**
As an Experienced Customer Service Representative I, you will be responsible for providing top-notch customer service to our clients, providers, and members. You will be the primary point of contact for inquiries related to eligibility, benefits, claims, coverage, and authorization of services. Your exceptional communication skills, problem-solving abilities, and knowledge of healthcare regulations will enable you to resolve complex issues and provide accurate information to our clients.
**Key Responsibilities**
- Answer incoming phone calls from providers, health plans, and members via our advanced call center system
- Retrieve and respond to voice mails in a timely and professional manner
- Provide eligibility, benefits, claim, and referral status information to clients, as required
- Assist in resolving issues for providers related to claims, authorization, and eligibility inquiries
- Collaborate with internal teams to ensure seamless communication and resolution of complex issues
- Maintain accurate records and documentation of client interactions
- Participate in ongoing training and development to enhance knowledge and skills
**Knowledge, Skills, and Abilities**
To excel in this role, you will need to possess:
- A strong sense of responsibility for delivering exceptional customer experiences
- Detail-oriented and highly organized, with the ability to handle multiple tasks and prioritize work
- Excellent verbal and written communication skills, with the ability to articulate complex information in a clear and concise manner
- Knowledge of CPT, ICD-10, HCPCS codes, HCFA1500, and UB04 billing forms
- Ability to work in a fast-paced environment, with a focus on meeting deadlines and resolving issues efficiently
**Education and Experience**
- High school diploma or equivalent required; bachelor's degree preferred
- 1-3 years of customer service experience in a call center and/or healthcare environment preferred
**Physical and Work Environment Demands**
- Must be able to work in a sitting position, use a computer, and answer the telephone
- Office work environment with minimal physical demands
**Compensation and Benefits**
- Competitive hourly rate: $14.50 - $21.80 per hour, depending on location, qualifications, and experience
- Position may be eligible for a signing bonus for qualified new hires, subject to employment status
- Conifer observed holidays receive time and a half
- Comprehensive benefits package, including:
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave) - minimum of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked
- 401(k) with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance
**Career Growth Opportunities and Learning Benefits**
- careerzynith is committed to the growth and development of our employees, offering ongoing training and development opportunities to enhance knowledge and skills
- Collaborate with a talented team of professionals to drive innovation and excellence in healthcare services
- Participate in company-wide initiatives and projects to shape the future of patient care and customer experience
**How to Apply**
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. Please submit your application through our website or by clicking the link below.
Join careerzynith today and become a part of a dynamic team shaping the future of healthcare services.
Apply for this job
**About careerzynith**
careerzynith is a renowned healthcare solutions provider, dedicated to empowering our clients to excel in the ever-evolving healthcare landscape. With a rich history of innovation and expertise, we have established ourselves as a trusted partner for healthcare organizations across the nation. Our mission is to revolutionize the way healthcare services are delivered, making it more accessible, efficient, and patient-centric.
**Job Summary**
As an Experienced Customer Service Representative I, you will be responsible for providing top-notch customer service to our clients, providers, and members. You will be the primary point of contact for inquiries related to eligibility, benefits, claims, coverage, and authorization of services. Your exceptional communication skills, problem-solving abilities, and knowledge of healthcare regulations will enable you to resolve complex issues and provide accurate information to our clients.
**Key Responsibilities**
- Answer incoming phone calls from providers, health plans, and members via our advanced call center system
- Retrieve and respond to voice mails in a timely and professional manner
- Provide eligibility, benefits, claim, and referral status information to clients, as required
- Assist in resolving issues for providers related to claims, authorization, and eligibility inquiries
- Collaborate with internal teams to ensure seamless communication and resolution of complex issues
- Maintain accurate records and documentation of client interactions
- Participate in ongoing training and development to enhance knowledge and skills
**Knowledge, Skills, and Abilities**
To excel in this role, you will need to possess:
- A strong sense of responsibility for delivering exceptional customer experiences
- Detail-oriented and highly organized, with the ability to handle multiple tasks and prioritize work
- Excellent verbal and written communication skills, with the ability to articulate complex information in a clear and concise manner
- Knowledge of CPT, ICD-10, HCPCS codes, HCFA1500, and UB04 billing forms
- Ability to work in a fast-paced environment, with a focus on meeting deadlines and resolving issues efficiently
**Education and Experience**
- High school diploma or equivalent required; bachelor's degree preferred
- 1-3 years of customer service experience in a call center and/or healthcare environment preferred
**Physical and Work Environment Demands**
- Must be able to work in a sitting position, use a computer, and answer the telephone
- Office work environment with minimal physical demands
**Compensation and Benefits**
- Competitive hourly rate: $14.50 - $21.80 per hour, depending on location, qualifications, and experience
- Position may be eligible for a signing bonus for qualified new hires, subject to employment status
- Conifer observed holidays receive time and a half
- Comprehensive benefits package, including:
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave) - minimum of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked
- 401(k) with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance
**Career Growth Opportunities and Learning Benefits**
- careerzynith is committed to the growth and development of our employees, offering ongoing training and development opportunities to enhance knowledge and skills
- Collaborate with a talented team of professionals to drive innovation and excellence in healthcare services
- Participate in company-wide initiatives and projects to shape the future of patient care and customer experience
**How to Apply**
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. Please submit your application through our website or by clicking the link below.
Join careerzynith today and become a part of a dynamic team shaping the future of healthcare services.
Apply for this job