Experienced Provider Customer Service Call and Chat Representative – Remote in Houston, TX
At careerzynith, we're dedicated to providing exceptional customer experiences that exceed the expectations of our healthcare providers. As a Provider Customer Service Call and Chat Representative, you'll play a vital role in supporting our providers by addressing their inquiries related to benefits, eligibility, billing, clinical authorizations, and behavioral health. This is an exciting opportunity to join our team and make a meaningful impact in the lives of our providers and their patients.
**About careerzynith**
careerzynith is a leading healthcare company that's committed to improving the lives of our members and providers. We're passionate about delivering innovative solutions that meet the evolving needs of our customers. Our team is comprised of dedicated professionals who share a common goal: to provide exceptional service and support to our providers and members. As a Provider Customer Service Call and Chat Representative, you'll be part of a dynamic team that's shaping the future of healthcare.
**Responsibilities**
As a Provider Customer Service Call and Chat Representative, you'll be responsible for:
* **Advocating for Providers**: You'll serve as the advocate for our providers, demonstrating accountability and ownership to resolve issues and promote self-service digital tools.
* **Multi-Channel Communication**: You'll provide exceptional service to providers in a multi-channel environment, including phone calls and concurrent chat as required.
* **Triage and Issue Resolution**: You'll quickly and appropriately triage contacts from healthcare professionals, seeking to understand and identify the needs of the provider, answering questions, and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health.
* **Complex Issue Resolution**: You'll research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and avoid repeat calls/messages, escalations, and provider dissatisfaction.
* **Collaboration and Communication**: You'll collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
* **Multi-Tasking and System Navigation**: You'll demonstrate 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, provider types, and call types.
* **Self-Service Digital Tools**: You'll 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**
To be successful in this role, you'll need:
* **High School Diploma / GED or Equivalent Work Experience**: You'll have a high school diploma or equivalent work experience.
* **Age Requirement**: You must be at least 18 years of age.
* **Customer Service Experience**: You'll have 1+ years of customer service experience with analyzing and solving customer concerns.
* **Computer and Windows PC Applications**: You'll have experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications.
* **Typing Speed and Accuracy**: You'll be able to type at a speed of greater than or equal to 35-40+ WPM with an accuracy of 90%.
* **Availability**: You'll be available 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 experience and skills are highly desirable:
* **Related Environment Experience**: You'll have experience in a related environment, such as an office, call center, customer service, etc., using phones and computers as the primary job tools.
* **Healthcare Experience and Terminology**: You'll have prior healthcare experience and knowledge of healthcare terminology.
**Benefits**
As a Provider Customer Service Call and Chat Representative at careerzynith, you'll enjoy:
* **10 Weeks of Paid Training**: You'll receive comprehensive training to ensure your success in this role.
* **Remote Work Option**: You'll have the flexibility to work remotely if located within a 60-mile commutable distance of Houston, TX.
**How to Apply**
If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of our providers and their patients, we encourage you to apply for this exciting opportunity. Visit our website to learn more about careerzynith and submit your application today.
[Apply Now](https://remotejobs.trendingnewsgo.com/register-candidate/)
We look forward to welcoming you to our team!
Apply for this job
**About careerzynith**
careerzynith is a leading healthcare company that's committed to improving the lives of our members and providers. We're passionate about delivering innovative solutions that meet the evolving needs of our customers. Our team is comprised of dedicated professionals who share a common goal: to provide exceptional service and support to our providers and members. As a Provider Customer Service Call and Chat Representative, you'll be part of a dynamic team that's shaping the future of healthcare.
**Responsibilities**
As a Provider Customer Service Call and Chat Representative, you'll be responsible for:
* **Advocating for Providers**: You'll serve as the advocate for our providers, demonstrating accountability and ownership to resolve issues and promote self-service digital tools.
* **Multi-Channel Communication**: You'll provide exceptional service to providers in a multi-channel environment, including phone calls and concurrent chat as required.
* **Triage and Issue Resolution**: You'll quickly and appropriately triage contacts from healthcare professionals, seeking to understand and identify the needs of the provider, answering questions, and resolving issues related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, and behavioral health.
* **Complex Issue Resolution**: You'll research and dissect complex prior authorization and claim issues, taking appropriate steps to resolve identified issues and avoid repeat calls/messages, escalations, and provider dissatisfaction.
* **Collaboration and Communication**: You'll collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner.
* **Multi-Tasking and System Navigation**: You'll demonstrate 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, provider types, and call types.
* **Self-Service Digital Tools**: You'll 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**
To be successful in this role, you'll need:
* **High School Diploma / GED or Equivalent Work Experience**: You'll have a high school diploma or equivalent work experience.
* **Age Requirement**: You must be at least 18 years of age.
* **Customer Service Experience**: You'll have 1+ years of customer service experience with analyzing and solving customer concerns.
* **Computer and Windows PC Applications**: You'll have experience with computer and Windows PC applications, including the ability to navigate and learn new and complex computer system applications.
* **Typing Speed and Accuracy**: You'll be able to type at a speed of greater than or equal to 35-40+ WPM with an accuracy of 90%.
* **Availability**: You'll be available 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 experience and skills are highly desirable:
* **Related Environment Experience**: You'll have experience in a related environment, such as an office, call center, customer service, etc., using phones and computers as the primary job tools.
* **Healthcare Experience and Terminology**: You'll have prior healthcare experience and knowledge of healthcare terminology.
**Benefits**
As a Provider Customer Service Call and Chat Representative at careerzynith, you'll enjoy:
* **10 Weeks of Paid Training**: You'll receive comprehensive training to ensure your success in this role.
* **Remote Work Option**: You'll have the flexibility to work remotely if located within a 60-mile commutable distance of Houston, TX.
**How to Apply**
If you're passionate about delivering exceptional customer experiences and making a meaningful impact in the lives of our providers and their patients, we encourage you to apply for this exciting opportunity. Visit our website to learn more about careerzynith and submit your application today.
[Apply Now](https://remotejobs.trendingnewsgo.com/register-candidate/)
We look forward to welcoming you to our team!
Apply for this job