Experienced Customer Service Representative – Remote Opportunity to Empower Better Health Outcomes
At careerzynith, we're dedicated to revolutionizing the healthcare industry through innovative technology, services, and clinical expertise. Our mission is to deliver maximum value and impact, and we're looking for passionate individuals to join our team of passionate professionals. As a Customer Service Representative at careerzynith, you'll play a vital role in empowering better health outcomes nationwide.
**About careerzynith**
careerzynith is a pioneering healthcare company that's redefining expectations for the industry. We're a team of experienced and caring leaders, clinicians, technologists, and industry professionals who come together to make a meaningful difference in people's lives. Our company culture is built on a foundation of innovation, collaboration, and a shared commitment to excellence.
**Job Summary**
We're seeking an experienced Customer Service Representative to join our growing team of passionate professionals. As a Customer Service Representative at careerzynith, you'll be responsible for providing exceptional customer service to our external partners, including hospitals, physicians, beneficiaries, and other program recipients. You'll be the face of careerzynith, and your role will be critical in building strong relationships and delivering high-quality service.
**Key Responsibilities**
As a Customer Service Representative at careerzynith, you'll have the opportunity to:
* Develop and maintain working knowledge of internal policies, procedures, and services (both departmental and operational)
* Utilize automated systems to log and retrieve information; Perform accurate and timely data entry of electronic faxes
* Receive inquiries by telephone, email, fax, or mail and communicates response within required turnaround times
* Respond to telephone inquiries in a prompt, accurate, and courteous manner following standard operating procedures
* Interact with external partners, including hospitals, physicians, beneficiaries, or other program recipients
* Perform verification of healthcare services to facilitate payment for received services
* Identify medical claims meeting CPT/DRG audit criteria and submits the necessary billing data and healthcare records to the third-party auditor
* Serve as liaison between the internal and external partners
* Investigate and resolve or report provider problems and identify and escalate difficult situations to the appropriate party
* Meet or exceed standards for call volume and service level per department guidelines
* Initiate cases by collecting and entering demographic, provider, and procedure information into the system
* May be responsible for the completion of daily, monthly, and quarterly reports necessary for the clinical team operations and client reporting
**Requirements**
To be successful in this role, you'll need:
* High School diploma or equivalent
* Proficiency in using PC tools, including electronic mail, intranet, and standard industry applications
* Effective verbal and listening skills to provide courteous and professional customer service
**Preferred Qualifications**
While not required, we're looking for candidates with:
* Knowledge of the health insurance industry
* Experience working in a healthcare setting
* Medical terminology knowledge is preferred
* Bilingual (Spanish/English) skills are a plus
* Minimum of two years of customer service experience
**Why Join careerzynith?**
We're a company that truly cares about our employees and the impact we make in people's lives. As a Customer Service Representative at careerzynith, you'll have the opportunity to:
* Work with a talented team of professionals who are passionate about making a difference
* Develop your skills and expertise in a dynamic and supportive environment
* Enjoy a comprehensive benefits package, including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more
* Participate in ongoing training and development opportunities to enhance your career growth
* Enjoy a flexible and remote work environment that allows you to balance your work and personal life
**Compensation**
The pay range for this position is $15.48-$17.20 an hour. Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.
**How to Apply**
If you're passionate about delivering exceptional customer service and making a meaningful difference in people's lives, we encourage you to apply for this exciting opportunity. Please visit our website at careerzynith.com/careers to submit your application.
**Equal Opportunity Employer**
careerzynith is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.
**Thank You!**
We appreciate your interest in careerzynith and invite you to apply for future openings that may be of interest. Best of luck in your search!
Apply for this job
**About careerzynith**
careerzynith is a pioneering healthcare company that's redefining expectations for the industry. We're a team of experienced and caring leaders, clinicians, technologists, and industry professionals who come together to make a meaningful difference in people's lives. Our company culture is built on a foundation of innovation, collaboration, and a shared commitment to excellence.
**Job Summary**
We're seeking an experienced Customer Service Representative to join our growing team of passionate professionals. As a Customer Service Representative at careerzynith, you'll be responsible for providing exceptional customer service to our external partners, including hospitals, physicians, beneficiaries, and other program recipients. You'll be the face of careerzynith, and your role will be critical in building strong relationships and delivering high-quality service.
**Key Responsibilities**
As a Customer Service Representative at careerzynith, you'll have the opportunity to:
* Develop and maintain working knowledge of internal policies, procedures, and services (both departmental and operational)
* Utilize automated systems to log and retrieve information; Perform accurate and timely data entry of electronic faxes
* Receive inquiries by telephone, email, fax, or mail and communicates response within required turnaround times
* Respond to telephone inquiries in a prompt, accurate, and courteous manner following standard operating procedures
* Interact with external partners, including hospitals, physicians, beneficiaries, or other program recipients
* Perform verification of healthcare services to facilitate payment for received services
* Identify medical claims meeting CPT/DRG audit criteria and submits the necessary billing data and healthcare records to the third-party auditor
* Serve as liaison between the internal and external partners
* Investigate and resolve or report provider problems and identify and escalate difficult situations to the appropriate party
* Meet or exceed standards for call volume and service level per department guidelines
* Initiate cases by collecting and entering demographic, provider, and procedure information into the system
* May be responsible for the completion of daily, monthly, and quarterly reports necessary for the clinical team operations and client reporting
**Requirements**
To be successful in this role, you'll need:
* High School diploma or equivalent
* Proficiency in using PC tools, including electronic mail, intranet, and standard industry applications
* Effective verbal and listening skills to provide courteous and professional customer service
**Preferred Qualifications**
While not required, we're looking for candidates with:
* Knowledge of the health insurance industry
* Experience working in a healthcare setting
* Medical terminology knowledge is preferred
* Bilingual (Spanish/English) skills are a plus
* Minimum of two years of customer service experience
**Why Join careerzynith?**
We're a company that truly cares about our employees and the impact we make in people's lives. As a Customer Service Representative at careerzynith, you'll have the opportunity to:
* Work with a talented team of professionals who are passionate about making a difference
* Develop your skills and expertise in a dynamic and supportive environment
* Enjoy a comprehensive benefits package, including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more
* Participate in ongoing training and development opportunities to enhance your career growth
* Enjoy a flexible and remote work environment that allows you to balance your work and personal life
**Compensation**
The pay range for this position is $15.48-$17.20 an hour. Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.
**How to Apply**
If you're passionate about delivering exceptional customer service and making a meaningful difference in people's lives, we encourage you to apply for this exciting opportunity. Please visit our website at careerzynith.com/careers to submit your application.
**Equal Opportunity Employer**
careerzynith is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.
**Thank You!**
We appreciate your interest in careerzynith and invite you to apply for future openings that may be of interest. Best of luck in your search!
Apply for this job