Experienced Full Stack Customer Service Representative – Healthcare Provider Support

Remote Full-time
Are you passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of others? Do you thrive in a fast-paced, dynamic environment where no two days are ever the same? If so, we invite you to join careerzynith, a leading healthcare organization dedicated to simplifying the healthcare experience and creating healthier communities.

As an Experienced Full Stack Customer Service Representative – Healthcare Provider Support, you will play a vital role in supporting providers who care for our members. You will be responsible for providing responsive and empathetic support, resolving complex issues, and promoting self-service digital tools to enhance the overall experience. If you're a customer service professional with a passion for healthcare and a drive to make a difference, we encourage you to apply for this exciting opportunity.

**About careerzynith**

careerzynith is a forward-thinking healthcare organization committed to creating a more responsive, affordable, and equitable healthcare system. We believe that everyone deserves access to quality care, regardless of their background or circumstances. Our mission is to help people live healthier lives and make the health system work better for everyone.

**Job Summary**

We are seeking an Experienced Full Stack Customer Service Representative – Healthcare Provider Support to join our team. As a key member of our customer service team, you will be responsible for providing exceptional support to healthcare providers, resolving complex issues, and promoting self-service digital tools. This is a full-time, remote position, and we offer a competitive salary package, comprehensive benefits, and opportunities for growth and development.

**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, concurrent chat, and email
* 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 related to 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 and avoid repeat calls, 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 or equivalent work experience
* Must be 18 years of age or older
* 1 year of customer service experience with analyzing and solving customer concerns
* Experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications
* Ability to type at the speed of greater than or equal to 35-40 WPM (words per minute) with an accuracy of 90%
* Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 9:35 AM - 6:05 PM CST from Monday - Friday, with occasional overtime, weekends, and holidays

**Preferred Qualifications**

* Experience in a related environment, such as a call center, customer service, or office setting, using phones and computers as primary job tools
* Prior healthcare experience and knowledge of healthcare terminology

**Telecommuting Requirements**

* Reside within the state of New Mexico
* 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 a UnitedHealth Group-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 with consistently achieving quality and productivity standards

**Benefits and Perks**

* Competitive salary package, commensurate with experience
* Comprehensive benefits, including medical, dental, and vision insurance
* Opportunities for growth and development, including training and professional development programs
* Flexible work arrangements, including remote work options
* Recognition and rewards for outstanding performance
* Collaborative and dynamic work environment

**Diversity, Equity, and Inclusion**

careerzynith is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

**How to Apply**

If you're a motivated and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we'll be in touch to discuss your qualifications further.

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