Experienced Provider Customer Service Call and Chat Representative – Remote in Houston, TX

Remote Full-time
At careerzynith, we're dedicated to revolutionizing the way healthcare providers interact with our organization. As a Provider Customer Service Call and Chat Representative, you'll play a vital role in supporting healthcare providers by addressing their inquiries related to benefits, eligibility, billing, clinical authorizations, and behavioral health. This full-time position involves multi-channel communication, including phone calls and chat, to ensure providers receive timely and accurate information. If you're passionate about delivering exceptional customer service and have a knack for problem-solving, we want to hear from you.

**About careerzynith**

careerzynith is a leading healthcare organization that's committed to improving the lives of millions of people across the country. Our mission is to provide innovative solutions that empower healthcare providers to deliver high-quality care to their patients. We're a dynamic and fast-paced organization that values collaboration, innovation, and customer satisfaction. As a Provider Customer Service Call and Chat Representative, you'll be part of a talented team that's dedicated to making a difference in the healthcare industry.

**Responsibilities**

As a Provider Customer Service Call and Chat Representative, you'll be responsible for:

* Serving as the advocate for providers by demonstrating accountability and ownership to resolve issues.
* Serving providers in a multi-channel environment, including call and concurrent chat as required.
* Quickly and appropriately triaging contacts from healthcare professionals (i.e., physician offices, clinics, billing offices).
* Seeking 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).
* Researching and dissecting complex prior authorization and claim issues and taking appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction.
* Collaborating effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
* Utilizing strong multi-tasking skills 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.
* Influencing providers to utilize self-service digital tools, assisting with navigation questions and selling the benefits of the tool, including aiding in faster resolution.

**Requirements**

To be successful in this role, you'll need to possess the following qualifications:

* High School Diploma / GED OR equivalent work experience.
* Must be 18 years of age OR older.
* 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 a 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) shift between the hours of 10:35 AM - 7:05 PM CST from Monday - Friday.

**Nice-to-haves**

While not required, the following qualifications would be beneficial:

* Experience in a related environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools.
* Prior health care experience and knowledge of healthcare terminology.

**Benefits**

As a Provider Customer Service Call and Chat Representative at careerzynith, you'll enjoy the following benefits:

* 10 weeks of paid training to ensure your success in the role.
* Flexibility to work remotely if located within a 60-mile commutable distance of Houston, TX.

**What We Offer**

At careerzynith, we're committed to providing a supportive and inclusive work environment that fosters growth and development. As a Provider Customer Service Call and Chat Representative, you'll have the opportunity to:

* Work with a talented team of professionals who are passionate about delivering exceptional customer service.
* Develop your skills and knowledge in a dynamic and fast-paced environment.
* Make a real difference in the lives of healthcare providers and their patients.
* Enjoy a comprehensive benefits package, including paid training, flexible work arrangements, and opportunities for career growth and development.

**How to Apply**

If you're passionate about delivering exceptional customer service and have a knack for problem-solving, we want to hear from you. Apply now to become a Provider Customer Service Call and Chat Representative at careerzynith.

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