Experienced Customer Service Representative – Provider Support and Advocacy – Remote Opportunity in Tennessee
At careerzynith, we're simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the healthcare system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
**About careerzynith**
careerzynith is a leading health insurance company dedicated to providing innovative solutions to the complex healthcare landscape. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe that everyone, regardless of their background, deserves access to quality healthcare. Our commitment to diversity, equity, and inclusion drives our efforts to create a healthier atmosphere for all.
**Job Summary**
We're seeking an experienced Customer Service Representative to join our Provider Support and Advocacy team. As a key member of our team, you'll serve as the advocate for providers, demonstrating accountability and ownership to resolve issues. You'll work in a multi-channel environment, including call and concurrent chat, to provide exceptional service to healthcare professionals. If you're passionate about delivering top-notch customer service and have a knack for problem-solving, we want to hear from you!
**Primary Responsibilities**
* Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues
* Service Providers in a multi-channel environment, including call and concurrent chat, as required
* Quickly and appropriately triage contacts from healthcare professionals, including physician offices, clinics, and billing offices
* Seek to understand and identify the needs of the provider, answering questions and resolving issues, such as benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health
* Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction
* Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
* Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business, provider types, and call types
* Influence providers to utilize self-service digital tools, assisting with navigation questions and selling the benefits of the tool, including aiding in faster resolution
**Required Qualifications**
* High School Diploma/GED or equivalent work experience
* Must be 18 years of age or older
* 1+ years of customer service experience with analyzing and solving customer concerns
* Ability to type at the speed of greater than or equal to 35-40+ WPM with an accuracy of 90%
* Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications
* Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 9 AM - 5:35 PM CST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime, weekends, and/or some holidays based on business need.
**Preferred Qualifications**
* Prior healthcare experience and knowledge of healthcare terminology
* Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools
**Telecommuting Requirements**
* Reside within the state of Tennessee
* Ability to keep all company-sensitive documents secure (if applicable)
* Required to have a dedicated work area established that is separated from other living areas and provides information privacy
* Must live in a location that can receive an careerzynith-approved high-speed internet connection or leverage an existing high-speed internet service
**Soft Skills**
* Ability to multi-task, including the ability to type in multiple conversations
* Ability to resolve calls and messages, avoiding escalated complaints
* Time management skills
* Emotional Intelligence and Empathy
* Active Listening and Comprehension
* Excellent written communication skills
* Demonstrated problem-solving, organization, and interpersonal skills
* Demonstrated experience consistently achieving quality and productivity standards
* All employees working remotely will be required to adhere to careerzynith's Telecommuter Policy
**Benefits and Perks**
* 11 weeks of paid training
* Flexible work schedule, including the ability to work from home
* Opportunities for career growth and development
* Competitive compensation and benefits package
* Recognition and rewards for outstanding performance
* Collaborative and dynamic work environment
**Why Join careerzynith?**
* We're committed to creating a healthier atmosphere for all, and we believe that diversity, equity, and inclusion are essential to achieving this goal.
* We offer a competitive compensation and benefits package, as well as opportunities for career growth and development.
* Our team is passionate about delivering exceptional customer service and making a positive impact on the lives of our members.
* We're dedicated to creating a work environment that is inclusive, supportive, and empowering.
**How to Apply**
If you're passionate about delivering top-notch customer service and have a knack for problem-solving, we want to hear from you! Apply now to join our team as a Customer Service Representative – Provider Support and Advocacy.
Apply for this job
**About careerzynith**
careerzynith is a leading health insurance company dedicated to providing innovative solutions to the complex healthcare landscape. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe that everyone, regardless of their background, deserves access to quality healthcare. Our commitment to diversity, equity, and inclusion drives our efforts to create a healthier atmosphere for all.
**Job Summary**
We're seeking an experienced Customer Service Representative to join our Provider Support and Advocacy team. As a key member of our team, you'll serve as the advocate for providers, demonstrating accountability and ownership to resolve issues. You'll work in a multi-channel environment, including call and concurrent chat, to provide exceptional service to healthcare professionals. If you're passionate about delivering top-notch customer service and have a knack for problem-solving, we want to hear from you!
**Primary Responsibilities**
* Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues
* Service Providers in a multi-channel environment, including call and concurrent chat, as required
* Quickly and appropriately triage contacts from healthcare professionals, including physician offices, clinics, and billing offices
* Seek to understand and identify the needs of the provider, answering questions and resolving issues, such as benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health
* Research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction
* Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
* Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business, provider types, and call types
* Influence providers to utilize self-service digital tools, assisting with navigation questions and selling the benefits of the tool, including aiding in faster resolution
**Required Qualifications**
* High School Diploma/GED or equivalent work experience
* Must be 18 years of age or older
* 1+ years of customer service experience with analyzing and solving customer concerns
* Ability to type at the speed of greater than or equal to 35-40+ WPM with an accuracy of 90%
* Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications
* Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 9 AM - 5:35 PM CST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime, weekends, and/or some holidays based on business need.
**Preferred Qualifications**
* Prior healthcare experience and knowledge of healthcare terminology
* Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools
**Telecommuting Requirements**
* Reside within the state of Tennessee
* Ability to keep all company-sensitive documents secure (if applicable)
* Required to have a dedicated work area established that is separated from other living areas and provides information privacy
* Must live in a location that can receive an careerzynith-approved high-speed internet connection or leverage an existing high-speed internet service
**Soft Skills**
* Ability to multi-task, including the ability to type in multiple conversations
* Ability to resolve calls and messages, avoiding escalated complaints
* Time management skills
* Emotional Intelligence and Empathy
* Active Listening and Comprehension
* Excellent written communication skills
* Demonstrated problem-solving, organization, and interpersonal skills
* Demonstrated experience consistently achieving quality and productivity standards
* All employees working remotely will be required to adhere to careerzynith's Telecommuter Policy
**Benefits and Perks**
* 11 weeks of paid training
* Flexible work schedule, including the ability to work from home
* Opportunities for career growth and development
* Competitive compensation and benefits package
* Recognition and rewards for outstanding performance
* Collaborative and dynamic work environment
**Why Join careerzynith?**
* We're committed to creating a healthier atmosphere for all, and we believe that diversity, equity, and inclusion are essential to achieving this goal.
* We offer a competitive compensation and benefits package, as well as opportunities for career growth and development.
* Our team is passionate about delivering exceptional customer service and making a positive impact on the lives of our members.
* We're dedicated to creating a work environment that is inclusive, supportive, and empowering.
**How to Apply**
If you're passionate about delivering top-notch customer service and have a knack for problem-solving, we want to hear from you! Apply now to join our team as a Customer Service Representative – Provider Support and Advocacy.
Apply for this job