Experienced Customer Service Representative – Provider Support & Claims Resolution

Remote Full-time
At careerzynith, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues – caring for people where, when, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate. And we do it all with heart, each and every day.

**About the Role**

We're seeking an experienced Customer Service Representative to join our team in a fully remote position within the central time zone. As a Customer Service Representative, you will be the face of careerzynith, providing exceptional customer service to our providers, physicians, and hospitals. You will be responsible for answering questions, resolving issues, and providing information to our customers, all while maintaining a high level of professionalism and empathy.

**Responsibilities**

As a Customer Service Representative, you will be responsible for:

* Answering questions and resolving issues based on incoming calls from providers
* Researching issues using multiple applications to assist providers
* Providing customers with related information to answer unasked questions, such as additional plan details, benefit plan details, provider self-service tools, etc.
* Maintaining department-established performance metrics at a meets or exceeds expectations level
* Working together as a team and applying the careerzynith Core Values in day-to-day operations
* Creating a Differentiated Service Experience
* Demonstrating Service Discipline

**Training and Development**

* Training will be conducted virtually, with a 9-week Benefits and Eligibility training program (Monday through Friday, 8:00 am to 5:00 pm CST)
* After completing Benefits and Eligibility training, you will participate in an additional 12-week claims training program
* You will be expected to work independently and be comfortable with virtual training and communication methods

**Requirements**

* Customer Service experience in a transaction-based environment, such as a call center or retail location, with a proven ability to be empathetic and compassionate
* Strong communication and problem-solving skills
* Strong computer navigation and typing skills, with the ability to manage multiple tasks in a transaction/high volume-based environment
* Familiarity with Microsoft Office products
* Excellent customer service and critical thinking skills
* Ability to work independently and be comfortable with virtual training and communication methods
* Secure, private home office location where PHI/PII information is not visible or overheard by others
* High-speed internet access (100 mbps or higher) and consistent, reliable connection
* Home office location must be set up with a direct connection to the router (Wi-Fi is not allowed)

**Education**

* High School diploma, G.E.D., or equivalent experience

**Work Environment**

* This is a fully remote position within the central time zone
* You will be expected to work independently and be comfortable with virtual training and communication methods
* You will have access to a comprehensive and competitive mix of pay and benefits, including affordable medical plan options, a 401(k) plan, and an employee stock purchase plan

**Compensation and Benefits**

* The typical pay range for this role is $17.00 – $28.46 per hour
* Our comprehensive and competitive mix of pay and benefits includes:
+ Affordable medical plan options
+ A 401(k) plan (including matching company contributions)
+ An employee stock purchase plan
+ No-cost programs for all colleagues, including wellness screenings, tobacco cessation, and weight management programs, confidential counseling, and financial coaching
+ Benefit solutions that address the different needs and preferences of our colleagues, including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access, and many other benefits depending on eligibility

**Why Join careerzynith?**

* Our people fuel our future. Our teams reflect the customers, patients, members, and communities we serve, and we are committed to fostering a workplace where every colleague feels valued and that they belong.
* We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional, and financial wellness of our colleagues and their families to help them be the healthiest they can be.

**How to Apply**

If you're passionate about delivering exceptional customer service and are looking for a challenging and rewarding role, we encourage you to apply. Please submit your application by [insert date] to be considered for this exciting opportunity.

**Equal Employment Opportunity**

careerzynith is an equal opportunity employer and welcomes applications from diverse candidates. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.

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