Experienced Customer Service Representative – Non-Clinical Support (Days) Indianapolis, IN
Join careerzynith, a leading healthcare organization, as a Temp to Perm Customer Service Representative in our Indianapolis, IN office. This is an exciting opportunity to work in a dynamic environment, providing exceptional customer service to our members and providers. As a key member of our team, you will be responsible for handling daily member telephone calls, resolving issues, and creating linkages to our Medical Management Department for authorization of services.
**About careerzynith**
careerzynith is a forward-thinking healthcare organization dedicated to delivering high-quality patient care and exceptional customer service. Our team of passionate professionals is committed to making a positive impact in the lives of our members and providers. With a strong focus on innovation, collaboration, and continuous learning, we strive to create a work environment that is inclusive, supportive, and empowering.
**Job Summary**
As a Customer Service Representative, you will be responsible for providing exceptional customer service to our members and providers, resolving issues, and creating linkages to our Medical Management Department for authorization of services. This is a remote work opportunity with onsite/virtual training, and you will have the flexibility to work from home after completing your training.
**Essential Functions and Responsibilities**
* Meet the Department standard of calls answered, and call documentation entered.
* Assist Members and Providers with questions and concerns, including:
+ Finding Provider(s)/Services for members
+ Arranging Transportation for members
+ Answering billing/claims status questions; resolving claim issues for members
+ Assisting with pharmacy issues
+ Helping Members access community support services
+ Verifying member eligibility
+ Quoting benefits
+ Assisting with Referrals
+ Assisting with member health assessments
+ Assisting members with closing gaps in care
* Provide ongoing member education and ensure that all benefits information given to Members and Providers is accurate and up-to-date.
* Participate in Departmental Projects, as appropriate.
* Coordinate quality improvement initiatives with Medical Management, Provider Relations, and Quality Depts., i.e., Preventative Health Screenings.
* Perform other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole.
**Requirements**
* 1 year of experience in a call center environment
* High School Diploma or equivalent
* Spanish speaking required (please note in your profile)
* Bilingual applicants preferred (eligible for an increase in pay rate)
* Must reside in Indiana
* 52% markup need; contractors must make a facility-mandated $18.00 per hour
**Preferred Qualifications**
* 1+ year of experience in a customer service or call center environment
* Bilingual (Spanish and English)
* Experience working in a healthcare environment
**Health System-Wide Profile Standards**
* References not required
* A skills checklist completed within one year of application for RN specialties is required
* All other professions outside of Nursing are not required but preferred
* Michigan license verification is required for nurses; please provide LARA and Nursys
* Physical copies of certifications are only required in the profile if listed above
* Full-time employees of careerzynith are not eligible for contract hire within six months of employment
**Additional License Requirements**
* Weekend Requirements: None
* On Call Requirements: None
**What We Offer**
* Competitive hourly rate
* Opportunities for career growth and professional development
* Collaborative and supportive work environment
* Flexible remote work arrangement
* Comprehensive benefits package (including medical, dental, and vision insurance)
* Paid time off and holidays
* Access to ongoing training and development opportunities
**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, including your resume and a cover letter, through our online application portal. We look forward to hearing from you!
Apply Now!
Apply for this job
**About careerzynith**
careerzynith is a forward-thinking healthcare organization dedicated to delivering high-quality patient care and exceptional customer service. Our team of passionate professionals is committed to making a positive impact in the lives of our members and providers. With a strong focus on innovation, collaboration, and continuous learning, we strive to create a work environment that is inclusive, supportive, and empowering.
**Job Summary**
As a Customer Service Representative, you will be responsible for providing exceptional customer service to our members and providers, resolving issues, and creating linkages to our Medical Management Department for authorization of services. This is a remote work opportunity with onsite/virtual training, and you will have the flexibility to work from home after completing your training.
**Essential Functions and Responsibilities**
* Meet the Department standard of calls answered, and call documentation entered.
* Assist Members and Providers with questions and concerns, including:
+ Finding Provider(s)/Services for members
+ Arranging Transportation for members
+ Answering billing/claims status questions; resolving claim issues for members
+ Assisting with pharmacy issues
+ Helping Members access community support services
+ Verifying member eligibility
+ Quoting benefits
+ Assisting with Referrals
+ Assisting with member health assessments
+ Assisting members with closing gaps in care
* Provide ongoing member education and ensure that all benefits information given to Members and Providers is accurate and up-to-date.
* Participate in Departmental Projects, as appropriate.
* Coordinate quality improvement initiatives with Medical Management, Provider Relations, and Quality Depts., i.e., Preventative Health Screenings.
* Perform other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole.
**Requirements**
* 1 year of experience in a call center environment
* High School Diploma or equivalent
* Spanish speaking required (please note in your profile)
* Bilingual applicants preferred (eligible for an increase in pay rate)
* Must reside in Indiana
* 52% markup need; contractors must make a facility-mandated $18.00 per hour
**Preferred Qualifications**
* 1+ year of experience in a customer service or call center environment
* Bilingual (Spanish and English)
* Experience working in a healthcare environment
**Health System-Wide Profile Standards**
* References not required
* A skills checklist completed within one year of application for RN specialties is required
* All other professions outside of Nursing are not required but preferred
* Michigan license verification is required for nurses; please provide LARA and Nursys
* Physical copies of certifications are only required in the profile if listed above
* Full-time employees of careerzynith are not eligible for contract hire within six months of employment
**Additional License Requirements**
* Weekend Requirements: None
* On Call Requirements: None
**What We Offer**
* Competitive hourly rate
* Opportunities for career growth and professional development
* Collaborative and supportive work environment
* Flexible remote work arrangement
* Comprehensive benefits package (including medical, dental, and vision insurance)
* Paid time off and holidays
* Access to ongoing training and development opportunities
**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, including your resume and a cover letter, through our online application portal. We look forward to hearing from you!
Apply Now!
Apply for this job