Experienced Part-Time Remote Customer Service Representative – Healthcare Industry
At careerzynith, we're passionate about empowering better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. We're looking for a talented and dedicated Customer Service Representative to join our growing team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
**About careerzynith**
careerzynith is a dynamic and innovative company that exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. We're a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry.
**Job Summary**
We're seeking a highly motivated and customer-focused Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for answering incoming telephone calls, resolving customer questions, complaints, and requests while adhering to internal policies and procedures. You will utilize your working knowledge of internal policies, procedures, and services to meet productivity and quality standards.
**Key Responsibilities**
* Develop and maintain 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**
* 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
* Strong communication and problem-solving skills
* Ability to work in a fast-paced environment and meet productivity and quality standards
* Ability to maintain confidentiality and handle sensitive information
**Preferred Qualifications**
* 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?**
We're a team of passionate and dedicated individuals who are committed to making a difference in the lives of others. At careerzynith, you will have the opportunity to work with a talented team of professionals who are passionate about healthcare and committed to delivering exceptional results. We offer a dynamic and supportive work environment that fosters growth and development.
**Benefits**
* Competitive hourly rate of $15.48-$17.20
* Comprehensive health plans
* Paid time off
* Retirement savings
* Corporate wellness
* Educational assistance
* Corporate discounts
* And more!
**Compensation Philosophy**
Our compensation philosophy is based on the idea that an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.
**How to Apply**
If you're a motivated and customer-focused individual who is passionate about healthcare, we encourage you to apply for this exciting opportunity. Please submit your application today!
Apply To This Job
**Don't Hesitate, Apply!**
Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. Submit your application today and take the first step towards a rewarding career with careerzynith!
Apply for this job
**About careerzynith**
careerzynith is a dynamic and innovative company that exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. We're a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry.
**Job Summary**
We're seeking a highly motivated and customer-focused Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for answering incoming telephone calls, resolving customer questions, complaints, and requests while adhering to internal policies and procedures. You will utilize your working knowledge of internal policies, procedures, and services to meet productivity and quality standards.
**Key Responsibilities**
* Develop and maintain 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**
* 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
* Strong communication and problem-solving skills
* Ability to work in a fast-paced environment and meet productivity and quality standards
* Ability to maintain confidentiality and handle sensitive information
**Preferred Qualifications**
* 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?**
We're a team of passionate and dedicated individuals who are committed to making a difference in the lives of others. At careerzynith, you will have the opportunity to work with a talented team of professionals who are passionate about healthcare and committed to delivering exceptional results. We offer a dynamic and supportive work environment that fosters growth and development.
**Benefits**
* Competitive hourly rate of $15.48-$17.20
* Comprehensive health plans
* Paid time off
* Retirement savings
* Corporate wellness
* Educational assistance
* Corporate discounts
* And more!
**Compensation Philosophy**
Our compensation philosophy is based on the idea that an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.
**How to Apply**
If you're a motivated and customer-focused individual who is passionate about healthcare, we encourage you to apply for this exciting opportunity. Please submit your application today!
Apply To This Job
**Don't Hesitate, Apply!**
Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. Submit your application today and take the first step towards a rewarding career with careerzynith!
Apply for this job