Experienced Provider Customer Service Call and Chat Representative – Healthcare Advocacy and Resolution
At careerzynith, we are dedicated to simplifying the healthcare experience and creating healthier communities. As a leading healthcare organization, we are committed to delivering exceptional service to our providers, who play a vital role in caring for our members. We are seeking an experienced and compassionate Provider Customer Service Call and Chat Representative to join our team. In this role, you will serve as an advocate for providers, demonstrating accountability and ownership in resolving issues, and promoting a positive experience with our services.
**About careerzynith**
careerzynith is a dynamic and innovative healthcare organization that is passionate about making a difference in the lives of our members and providers. We are committed to delivering high-quality, patient-centered care, and we believe that our employees are the key to achieving this goal. As a representative of careerzynith, you will have the opportunity to work with a talented team of professionals who share your passion for healthcare and customer service.
**Job Summary**
The Provider Customer Service Call and Chat Representative plays a critical role in supporting providers who care for our members. This position involves responding to inquiries related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health, either through phone calls or concurrent chat. As a representative, you will engage with providers in a multi-channel environment, including calls and chats, and will be responsible for triaging contacts from healthcare professionals, understanding their needs, and providing timely resolutions to their inquiries.
**Responsibilities**
* Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues.
* Service providers in a multi-channel environment including call and concurrent chat as required.
* Quickly and appropriately triage contacts from healthcare professionals (i.e., physician offices, clinics, billing offices).
* Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health).
* Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, 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 (C&S, M&R, E&I) 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.
**Requirements**
* High School Diploma / GED OR equivalent work experience.
* 1+ years of customer service experience with analyzing and solving customer's concerns.
* Experience with computer and Windows PC applications, which includes 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 with an accuracy of 90%.
* Must be 18 years of age or older.
* Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 10:35 AM - 7:05 PM CST from Monday - Friday.
**Nice-to-haves**
* Prior health care experience and knowledge of healthcare terminology.
* Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools.
**Benefits**
* Comprehensive benefits package
* Incentive and recognition programs
* Equity stock purchase
* 401k contribution
**What We Offer**
As a Provider Customer Service Call and Chat Representative at careerzynith, you will have the opportunity to work in a dynamic and supportive environment that values your contributions and provides opportunities for growth and development. You will be part of a team that is passionate about delivering exceptional service to our providers and members, and you will have the chance to make a real difference in the lives of those we serve.
**Training and Development**
careerzynith is committed to providing our employees with the training and development they need to succeed in their roles. As a Provider Customer Service Call and Chat Representative, you will receive 12 weeks of paid training, conducted virtually from home, with training hours set from 8:00 AM to 4:30 PM CST, Monday through Friday. This comprehensive training program will equip you with the knowledge and skills you need to excel in your role and provide exceptional service to our providers.
**Work Environment and Culture**
careerzynith is a remote-friendly organization that values flexibility and work-life balance. As a Provider Customer Service Call and Chat Representative, you will have the opportunity to work from home and enjoy a flexible schedule that allows you to balance your work and personal responsibilities. Our organization is committed to creating a positive and inclusive work environment that values diversity, equity, and inclusion.
**How to Apply**
If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to our online application portal. We look forward to hearing from you and learning more about your qualifications and experience.
**Equal Employment Opportunity**
careerzynith is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, and we strive to provide equal opportunities for employment, training, and advancement.
**Contact Us**
If you have any questions or would like to learn more about this opportunity, please do not hesitate to contact us. We can be reached at [insert contact information]. We look forward to hearing from you and learning more about your qualifications and experience.
**Apply Now**
To apply for this exciting opportunity, please click on the link below:
Apply Job!
Apply for this job
**About careerzynith**
careerzynith is a dynamic and innovative healthcare organization that is passionate about making a difference in the lives of our members and providers. We are committed to delivering high-quality, patient-centered care, and we believe that our employees are the key to achieving this goal. As a representative of careerzynith, you will have the opportunity to work with a talented team of professionals who share your passion for healthcare and customer service.
**Job Summary**
The Provider Customer Service Call and Chat Representative plays a critical role in supporting providers who care for our members. This position involves responding to inquiries related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health, either through phone calls or concurrent chat. As a representative, you will engage with providers in a multi-channel environment, including calls and chats, and will be responsible for triaging contacts from healthcare professionals, understanding their needs, and providing timely resolutions to their inquiries.
**Responsibilities**
* Serve as the advocate for providers by demonstrating accountability and ownership to resolve issues.
* Service providers in a multi-channel environment including call and concurrent chat as required.
* Quickly and appropriately triage contacts from healthcare professionals (i.e., physician offices, clinics, billing offices).
* Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g., benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health).
* Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, 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 (C&S, M&R, E&I) 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.
**Requirements**
* High School Diploma / GED OR equivalent work experience.
* 1+ years of customer service experience with analyzing and solving customer's concerns.
* Experience with computer and Windows PC applications, which includes 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 with an accuracy of 90%.
* Must be 18 years of age or older.
* Ability to work any full-time (40 hours/week), 8-hour shift between the hours of 10:35 AM - 7:05 PM CST from Monday - Friday.
**Nice-to-haves**
* Prior health care experience and knowledge of healthcare terminology.
* Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools.
**Benefits**
* Comprehensive benefits package
* Incentive and recognition programs
* Equity stock purchase
* 401k contribution
**What We Offer**
As a Provider Customer Service Call and Chat Representative at careerzynith, you will have the opportunity to work in a dynamic and supportive environment that values your contributions and provides opportunities for growth and development. You will be part of a team that is passionate about delivering exceptional service to our providers and members, and you will have the chance to make a real difference in the lives of those we serve.
**Training and Development**
careerzynith is committed to providing our employees with the training and development they need to succeed in their roles. As a Provider Customer Service Call and Chat Representative, you will receive 12 weeks of paid training, conducted virtually from home, with training hours set from 8:00 AM to 4:30 PM CST, Monday through Friday. This comprehensive training program will equip you with the knowledge and skills you need to excel in your role and provide exceptional service to our providers.
**Work Environment and Culture**
careerzynith is a remote-friendly organization that values flexibility and work-life balance. As a Provider Customer Service Call and Chat Representative, you will have the opportunity to work from home and enjoy a flexible schedule that allows you to balance your work and personal responsibilities. Our organization is committed to creating a positive and inclusive work environment that values diversity, equity, and inclusion.
**How to Apply**
If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to our online application portal. We look forward to hearing from you and learning more about your qualifications and experience.
**Equal Employment Opportunity**
careerzynith is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, and we strive to provide equal opportunities for employment, training, and advancement.
**Contact Us**
If you have any questions or would like to learn more about this opportunity, please do not hesitate to contact us. We can be reached at [insert contact information]. We look forward to hearing from you and learning more about your qualifications and experience.
**Apply Now**
To apply for this exciting opportunity, please click on the link below:
Apply Job!
Apply for this job