Experienced Customer Service Specialist - Remote Opportunity at careerzynith
**Job Title:** Experienced Customer Service Specialist - Remote Opportunity at careerzynith
**Job Description:**
About careerzynith
At careerzynith, we are dedicated to providing exceptional customer service and empowering patients to live their best lives. As a leading provider of full-service home medical equipment products and services, we strive to make a profound impact on the quality of patients' lives. Our team is passionate about delivering outstanding care and support to our patients, and we are seeking a skilled Customer Service Specialist to join our remote team.
Job Summary
As a Customer Service Specialist at careerzynith, you will be responsible for providing exceptional customer service to our patients, answering inbound calls, and making outbound calls to ensure successful service delivery. You will work in a fast-paced environment, developing and maintaining a working knowledge of our products and services, and utilizing your analytical and problem-solving skills to resolve customer complaints and issues.
Key Responsibilities
Develop and maintain working knowledge of current products and services offered by careerzynith
Answer all calls and emails in a timely manner, in adherence to our goals and standards
Document all call information according to standard operating procedures
Answer questions about products and services, retail stores, general service line information, and other information as necessary based on customer call needs
Process orders, route calls to appropriate resources, and follow up on customer calls where necessary
Review all required documentation to ensure accuracy
Accurately process, verify, and/or submit documentation and orders
Complete insurance verification to determine patient's eligibility, coverage, co-insurances, and deductibles
Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required
Must be able to navigate through multiple online EMR systems to obtain applicable documentation
Enter and review all pertinent information in EMR system, including authorizations and expiration dates
Communicate with Customer Service and Management on an ongoing basis regarding any noticed trends with insurance companies
Verify insurance carriers are listed in our database system, if not, request the new carrier is entered
Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process
Meet quality assurance requirements and other key performance metrics
Facilitate resolution on customer complaints and problem-solving
Pays attention to detail and has great organizational skills
Actively listens to patients and handles stressful situations with compassion and empathy
Flexible with the actual work and the hours of operation
Utilize company-provided tools to maintain quality, including but not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System), and "How-To" documents
Competency, Skills, and Abilities
Excellent customer service skills
Analytical and problem-solving skills with attention to detail
Decision-making
Excellent ability to communicate both verbally and in writing
Ability to prioritize and manage multiple tasks
Proficient computer skills and knowledge of Microsoft Office
Solid ability to learn new technologies and possess the technical aptitude required to understand the flow of data through systems as well as system interaction
General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred
Work well independently and as part of a group
Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative, and work effectively on a team
Requirements
Minimum Job Qualifications:
High School Diploma or equivalent
One (1) year work-related experience in healthcare administrative, financial, or insurance customer services, claims, billing, call center, or management, regardless of industry
Senior level requires two (2) years of work-related experience and one (1) year of exact job experience
Exact job experience is considered any of the above tasks in a Medicare-certified
Why Join careerzynith?
At careerzynith, we offer a dynamic and supportive work environment that fosters growth and development. As a Customer Service Specialist, you will have the opportunity to:
* Work from home in a remote setting
* Develop and maintain a working knowledge of our products and services
* Utilize your analytical and problem-solving skills to resolve customer complaints and issues
* Collaborate with a team of dedicated professionals who share your passion for delivering exceptional customer service
* Participate in ongoing training and development opportunities to enhance your skills and knowledge
* Enjoy a competitive salary and benefits package
How to Apply
If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you!
Equal Opportunity Employer
careerzynith is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual's race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.
Apply for this job
**Job Description:**
About careerzynith
At careerzynith, we are dedicated to providing exceptional customer service and empowering patients to live their best lives. As a leading provider of full-service home medical equipment products and services, we strive to make a profound impact on the quality of patients' lives. Our team is passionate about delivering outstanding care and support to our patients, and we are seeking a skilled Customer Service Specialist to join our remote team.
Job Summary
As a Customer Service Specialist at careerzynith, you will be responsible for providing exceptional customer service to our patients, answering inbound calls, and making outbound calls to ensure successful service delivery. You will work in a fast-paced environment, developing and maintaining a working knowledge of our products and services, and utilizing your analytical and problem-solving skills to resolve customer complaints and issues.
Key Responsibilities
Develop and maintain working knowledge of current products and services offered by careerzynith
Answer all calls and emails in a timely manner, in adherence to our goals and standards
Document all call information according to standard operating procedures
Answer questions about products and services, retail stores, general service line information, and other information as necessary based on customer call needs
Process orders, route calls to appropriate resources, and follow up on customer calls where necessary
Review all required documentation to ensure accuracy
Accurately process, verify, and/or submit documentation and orders
Complete insurance verification to determine patient's eligibility, coverage, co-insurances, and deductibles
Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required
Must be able to navigate through multiple online EMR systems to obtain applicable documentation
Enter and review all pertinent information in EMR system, including authorizations and expiration dates
Communicate with Customer Service and Management on an ongoing basis regarding any noticed trends with insurance companies
Verify insurance carriers are listed in our database system, if not, request the new carrier is entered
Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process
Meet quality assurance requirements and other key performance metrics
Facilitate resolution on customer complaints and problem-solving
Pays attention to detail and has great organizational skills
Actively listens to patients and handles stressful situations with compassion and empathy
Flexible with the actual work and the hours of operation
Utilize company-provided tools to maintain quality, including but not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System), and "How-To" documents
Competency, Skills, and Abilities
Excellent customer service skills
Analytical and problem-solving skills with attention to detail
Decision-making
Excellent ability to communicate both verbally and in writing
Ability to prioritize and manage multiple tasks
Proficient computer skills and knowledge of Microsoft Office
Solid ability to learn new technologies and possess the technical aptitude required to understand the flow of data through systems as well as system interaction
General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred
Work well independently and as part of a group
Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative, and work effectively on a team
Requirements
Minimum Job Qualifications:
High School Diploma or equivalent
One (1) year work-related experience in healthcare administrative, financial, or insurance customer services, claims, billing, call center, or management, regardless of industry
Senior level requires two (2) years of work-related experience and one (1) year of exact job experience
Exact job experience is considered any of the above tasks in a Medicare-certified
Why Join careerzynith?
At careerzynith, we offer a dynamic and supportive work environment that fosters growth and development. As a Customer Service Specialist, you will have the opportunity to:
* Work from home in a remote setting
* Develop and maintain a working knowledge of our products and services
* Utilize your analytical and problem-solving skills to resolve customer complaints and issues
* Collaborate with a team of dedicated professionals who share your passion for delivering exceptional customer service
* Participate in ongoing training and development opportunities to enhance your skills and knowledge
* Enjoy a competitive salary and benefits package
How to Apply
If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you!
Equal Opportunity Employer
careerzynith is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual's race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.
Apply for this job