Experienced Medical Customer Service Representative – Patient Support and Claims Resolution

Remote Full-time
At careerzynith, we're dedicated to delivering exceptional patient care and support in the ever-evolving healthcare landscape. As a Medical Customer Service Representative, you'll play a vital role in ensuring our patients receive the highest level of service and support. If you're passionate about delivering outstanding customer experiences and possess a strong understanding of medical systems and claims processing, we encourage you to join our team in Rockville, MD.

**About careerzynith**

careerzynith is a leading healthcare organization committed to providing innovative solutions and exceptional patient care. Our team of dedicated professionals is passionate about making a positive impact in the lives of our patients and clients. With a focus on customer-centricity, we strive to create a supportive and inclusive work environment that fosters growth, learning, and collaboration.

**Job Summary**

We're seeking an experienced Medical Customer Service Representative to join our team in Rockville, MD. As a key member of our patient support team, you'll be responsible for providing exceptional customer service, resolving claims and eligibility issues, and maintaining accurate records. If you're a motivated and customer-focused individual with a strong understanding of medical systems and claims processing, we encourage you to apply.

**Responsibilities**

As a Medical Customer Service Representative, you'll be responsible for:

* Obtaining and maintaining a working knowledge of basic plan provisions, multiple benefit schedules, eligibility systems, claim systems, and other relevant medical systems
* Responding promptly and accurately to phone calls, emails, walk-in participants, and written correspondence by answering questions and explaining claim payments and denials
* Quoting self-payment amounts, verifying eligibility and benefits, researching eligibility or claim issues, and updating eligibility with outside vendors
* Documenting all patient interactions in the patient account system
* Performing various clerical duties, including entering enrollment forms, processing working spouse forms, special fund claims, and disability claims
* Handling messages from the after-hours mailbox and following up with patients as needed

**Qualifications**

To be successful in this role, you'll need:

* A minimum of 1 year of experience in a healthcare call center setting
* The ability to pass a typing test at 40 WPM
* Knowledge of medical terminology and claims processes is a plus
* Strong communication and interpersonal skills
* Proficiency with computer systems and medical software

**Essential Skills and Competencies**

To excel in this role, you'll need to possess:

* Excellent communication and interpersonal skills
* Strong problem-solving and analytical skills
* Ability to work in a fast-paced environment with multiple priorities
* Proficiency with computer systems and medical software
* Strong attention to detail and organizational skills
* Ability to maintain confidentiality and handle sensitive information

**Career Growth Opportunities and Learning Benefits**

At careerzynith, we're committed to supporting your career growth and development. As a Medical Customer Service Representative, you'll have access to:

* Ongoing training and development opportunities to enhance your skills and knowledge
* Mentorship and coaching from experienced team members
* Opportunities for advancement and career growth within the organization
* A supportive and inclusive work environment that fosters collaboration and teamwork

**Work Environment and Company Culture**

Our office in Rockville, MD is a dynamic and supportive work environment that fosters collaboration, innovation, and growth. As a Medical Customer Service Representative, you'll have the opportunity to work with a talented team of professionals who share your passion for delivering exceptional patient care and support.

**Compensation, Perks, and Benefits**

We offer a competitive compensation package, including:

* $22.00 to $24.00 per hour
* Comprehensive benefits package, including medical, dental, vision, life insurance, short-term disability, and additional voluntary benefits
* 401K plan with company match
* Paid leave, including Paid Sick Leave and Holiday pay
* Commuter benefits and EAP program

**Equal Opportunity Employer/Veterans/Disabled**

careerzynith is an equal opportunity employer and welcomes applications from diverse candidates. We're committed to creating a workplace that's inclusive, respectful, and supportive of all employees.

**How to Apply**

If you're a motivated and customer-focused individual with a strong understanding of medical systems and claims processing, we encourage you to apply. Please visit our website at [insert website URL] to submit your application.

**Note**

careerzynith is an equal opportunity employer and welcomes applications from diverse candidates. We're committed to creating a workplace that's inclusive, respectful, and supportive of all employees.

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