Experienced Medical Claims Customer Service Representative – careerzynith
Join careerzynith, a leading provider of innovative healthcare solutions, as we seek an experienced Medical Claims Customer Service Representative to join our dynamic team. As a key member of our Service Center, you will play a vital role in processing medical claims, communicating with providers, and delivering exceptional customer service to our clients. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.
**About careerzynith**
careerzynith is a forward-thinking organization dedicated to revolutionizing the healthcare industry with cutting-edge technology and innovative solutions. Our mission is to provide seamless, personalized experiences for our clients, and we are committed to fostering a culture of excellence, collaboration, and continuous learning. As a Medical Claims Customer Service Representative, you will be part of a talented team that is shaping the future of healthcare.
**Job Summary**
The Medical Claims Customer Service Representative is responsible for processing medical claims, communicating with providers, and delivering exceptional customer service to our clients. This role requires a high level of technical expertise, attention to detail, and excellent communication skills. As a key member of our Service Center, you will be the primary liaison with callers, resolving issues, and directing calls to an appropriate escalation path as needed.
**Essential Functions, Duties, and Responsibilities**
* Acts as primary liaison with callers, following client specifications in assisting with questions and solving problems related to the claims process and servicing processes.
* Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.
* Educates members and providers on client requirements and benefit plans, documenting all required details of the call in a concise professional manner.
* Enters verbal and written application information that meets both the internal and external customer's requirements accurately into the claims management system.
* Assigns new claims to the appropriate claims handler.
* Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.
* Performs other duties as assigned.
* Supports the organization's quality program(s).
**Physical Demands**
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
**Requirements**
* Claims and customer service experience is a priority.
* Must be a US Citizen.
* ALL CANDIDATES MUST BE ABLE TO WORK A SET SHIFT:
+ 8:00am - 4:30pm
+ 8:30am - 5:00pm
+ 11:30am - 8:00pm
* Duration: 90 days, with the option for extension.
* Location: Remote.
* MCA Minimum IT Requirement: Supplier partners MUST confirm that candidates meet the work from home IT requirements.
**Benefits and Perks**
careerzynith offers a comprehensive benefits package for our associates, which includes:
* A MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.
* A dynamic and supportive work environment that fosters growth and development.
* Opportunities for career advancement and professional growth.
* A competitive salary and benefits package.
* A comprehensive training program to ensure your success in the role.
**Equal Employment Opportunities**
careerzynith provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
**How to Apply**
If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application: Apply Job!
**What We Offer**
* A dynamic and supportive work environment that fosters growth and development.
* Opportunities for career advancement and professional growth.
* A comprehensive training program to ensure your success in the role.
* A competitive salary and benefits package.
* A comprehensive benefits package that includes a MEC (Minimum Essential Coverage) plan, 401K, and EAP (Employee Assistance Program) services.
**Why Join careerzynith?**
* careerzynith is a forward-thinking organization dedicated to revolutionizing the healthcare industry with cutting-edge technology and innovative solutions.
* Our mission is to provide seamless, personalized experiences for our clients, and we are committed to fostering a culture of excellence, collaboration, and continuous learning.
* As a Medical Claims Customer Service Representative, you will be part of a talented team that is shaping the future of healthcare.
**Conclusion**
If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Join careerzynith and be part of a dynamic team that is shaping the future of healthcare. Apply now and take the first step towards a rewarding career with careerzynith.
Apply for this job
**About careerzynith**
careerzynith is a forward-thinking organization dedicated to revolutionizing the healthcare industry with cutting-edge technology and innovative solutions. Our mission is to provide seamless, personalized experiences for our clients, and we are committed to fostering a culture of excellence, collaboration, and continuous learning. As a Medical Claims Customer Service Representative, you will be part of a talented team that is shaping the future of healthcare.
**Job Summary**
The Medical Claims Customer Service Representative is responsible for processing medical claims, communicating with providers, and delivering exceptional customer service to our clients. This role requires a high level of technical expertise, attention to detail, and excellent communication skills. As a key member of our Service Center, you will be the primary liaison with callers, resolving issues, and directing calls to an appropriate escalation path as needed.
**Essential Functions, Duties, and Responsibilities**
* Acts as primary liaison with callers, following client specifications in assisting with questions and solving problems related to the claims process and servicing processes.
* Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.
* Educates members and providers on client requirements and benefit plans, documenting all required details of the call in a concise professional manner.
* Enters verbal and written application information that meets both the internal and external customer's requirements accurately into the claims management system.
* Assigns new claims to the appropriate claims handler.
* Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.
* Performs other duties as assigned.
* Supports the organization's quality program(s).
**Physical Demands**
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
**Requirements**
* Claims and customer service experience is a priority.
* Must be a US Citizen.
* ALL CANDIDATES MUST BE ABLE TO WORK A SET SHIFT:
+ 8:00am - 4:30pm
+ 8:30am - 5:00pm
+ 11:30am - 8:00pm
* Duration: 90 days, with the option for extension.
* Location: Remote.
* MCA Minimum IT Requirement: Supplier partners MUST confirm that candidates meet the work from home IT requirements.
**Benefits and Perks**
careerzynith offers a comprehensive benefits package for our associates, which includes:
* A MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.
* A dynamic and supportive work environment that fosters growth and development.
* Opportunities for career advancement and professional growth.
* A competitive salary and benefits package.
* A comprehensive training program to ensure your success in the role.
**Equal Employment Opportunities**
careerzynith provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
**How to Apply**
If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application: Apply Job!
**What We Offer**
* A dynamic and supportive work environment that fosters growth and development.
* Opportunities for career advancement and professional growth.
* A comprehensive training program to ensure your success in the role.
* A competitive salary and benefits package.
* A comprehensive benefits package that includes a MEC (Minimum Essential Coverage) plan, 401K, and EAP (Employee Assistance Program) services.
**Why Join careerzynith?**
* careerzynith is a forward-thinking organization dedicated to revolutionizing the healthcare industry with cutting-edge technology and innovative solutions.
* Our mission is to provide seamless, personalized experiences for our clients, and we are committed to fostering a culture of excellence, collaboration, and continuous learning.
* As a Medical Claims Customer Service Representative, you will be part of a talented team that is shaping the future of healthcare.
**Conclusion**
If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Join careerzynith and be part of a dynamic team that is shaping the future of healthcare. Apply now and take the first step towards a rewarding career with careerzynith.
Apply for this job