Experienced Customer Service Representative – Remote Opportunity to Revolutionize Healthcare
At careerzynith, we're on a mission to empower better health outcomes through technology, services, and clinical expertise. Our innovative approach to healthcare solutions has made us a vital partner for health solutions in the public sector. We're now seeking an experienced Customer Service Representative to join our growing team of passionate individuals dedicated to making a difference in the lives of millions nationwide.
**About careerzynith**
careerzynith is a dynamic organization that's redefining expectations for the healthcare industry. Our team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals come together to deliver maximum value and impact. We're committed to providing unparalleled opportunities for growth and development, making this an exciting time to join our team.
**Job Summary**
As a Customer Service Representative at careerzynith, you'll play a critical role in delivering exceptional customer experiences while adhering to internal policies and procedures. You'll be responsible for answering incoming telephone calls, resolving customer questions, complaints, and requests, and utilizing your working knowledge of our services to meet productivity and quality standards.
**Key Responsibilities**
* Develop and maintain a 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 such as 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**
**Required Qualifications/Experience**
* 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/Experience**
* 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?**
* **Meaningful Work**: You'll have the opportunity to work on projects that genuinely improve people's lives nationwide.
* **Career Growth**: Our company cares about our employees, giving you the tools and encouragement you need to achieve the finest work of your career.
* **Diverse and Inclusive Culture**: We're an Equal Opportunity Employer, committed to creating a workplace that's inclusive and respectful of all individuals.
* **Competitive Compensation**: Our pay range for this position is $15.48-$17.20 an hour, with opportunities for growth and advancement.
* **Benefits Package**: Our benefits are designed to provide additional protection, security, and support for both your career and your life away from work.
**Work Environment and Culture**
* **Remote Work**: As a remote employee, you'll have the flexibility to work from the comfort of your own home.
* **Collaborative Team**: Our team is passionate, dedicated, and committed to delivering exceptional results.
* **Continuous Learning**: We're committed to providing ongoing training and development opportunities to help you grow and succeed in your career.
**How to Apply**
If you're a motivated and customer-focused individual who's passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please visit our website at careerzynith.com/careers to learn more about our company culture and to submit your application.
**Equal Opportunity Employer**
careerzynith is an Equal Opportunity Employer, committed to creating a workplace that's inclusive and respectful of all individuals. We welcome applications from diverse candidates and are proud to be an employer of choice for people with disabilities.
Apply for this job
**About careerzynith**
careerzynith is a dynamic organization that's redefining expectations for the healthcare industry. Our team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals come together to deliver maximum value and impact. We're committed to providing unparalleled opportunities for growth and development, making this an exciting time to join our team.
**Job Summary**
As a Customer Service Representative at careerzynith, you'll play a critical role in delivering exceptional customer experiences while adhering to internal policies and procedures. You'll be responsible for answering incoming telephone calls, resolving customer questions, complaints, and requests, and utilizing your working knowledge of our services to meet productivity and quality standards.
**Key Responsibilities**
* Develop and maintain a 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 such as 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**
**Required Qualifications/Experience**
* 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/Experience**
* 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?**
* **Meaningful Work**: You'll have the opportunity to work on projects that genuinely improve people's lives nationwide.
* **Career Growth**: Our company cares about our employees, giving you the tools and encouragement you need to achieve the finest work of your career.
* **Diverse and Inclusive Culture**: We're an Equal Opportunity Employer, committed to creating a workplace that's inclusive and respectful of all individuals.
* **Competitive Compensation**: Our pay range for this position is $15.48-$17.20 an hour, with opportunities for growth and advancement.
* **Benefits Package**: Our benefits are designed to provide additional protection, security, and support for both your career and your life away from work.
**Work Environment and Culture**
* **Remote Work**: As a remote employee, you'll have the flexibility to work from the comfort of your own home.
* **Collaborative Team**: Our team is passionate, dedicated, and committed to delivering exceptional results.
* **Continuous Learning**: We're committed to providing ongoing training and development opportunities to help you grow and succeed in your career.
**How to Apply**
If you're a motivated and customer-focused individual who's passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please visit our website at careerzynith.com/careers to learn more about our company culture and to submit your application.
**Equal Opportunity Employer**
careerzynith is an Equal Opportunity Employer, committed to creating a workplace that's inclusive and respectful of all individuals. We welcome applications from diverse candidates and are proud to be an employer of choice for people with disabilities.
Apply for this job