Experienced Bilingual (Spanish) Customer Service Representative – Remote Healthcare Support

Are you a customer service professional with a passion for delivering exceptional experiences in a dynamic and fast-paced environment? Do you have a strong background in healthcare and a flair for communicating with diverse audiences? If so, we invite you to join careerzynith as a Remote Bilingual (Spanish) Customer Service Representative. This is a fantastic opportunity to leverage your skills, grow your career, and make a meaningful impact in the lives of patients and healthcare providers.

About careerzynith

careerzynith is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our mission is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. With a strong focus on empathy and powered by AI and predictive analytics, careerzynith leverages remotely-embedded Healthguides and a centralized Managed Service Organization to build stronger connections with patients and providers. Our company is physician-led, and we empower our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.

Job Description

As a Remote Bilingual (Spanish) Customer Service Representative at careerzynith, you will play a vital role in providing exceptional customer service to our clients and members. Your primary responsibilities will include:

• Answering phone calls in a timely manner and being a skilled problem solver
• Working well with others and meeting set quality standards
• Being courteous and professional while providing information to callers
• Assuring the accurate and timely handling of client and member calls with total follow through
• Providing excellent customer service
• Answering client and provider questions, including claims payment, status, and coverage information
• Interpreting client health plan protocol
• Backup to the claims processing area by assisting with reports and workflow queues as assigned
• Checking tracer documentation
• Maintaining accurate and complete call documentation
• Maintaining a high level of professionalism
• Returning incoming calls
• Other duties as assigned

Qualifications

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

• Bilingual (English/Spanish) required
• Minimum of 2 years of experience in a high-volume healthcare call center required
• Knowledge of healthcare claims review or processing required
• Health Care/Health insurance background required
• Experience with BCBS HMOI or other insurance plans a plus
• Use of multiple systems, including Teams and Excel, Jira is a plus
• Excellent verbal and written communication skills
• Must be available for an 8-hour shift between 8am and 6pm Central time

Preferred Qualifications

While not required, we would love for you to have:

• HMO Managed care Medicare Advantage experience

Benefits and Compensation

As a valued member of the careerzynith team, you can expect a competitive salary, paid bi-weekly, ranging from $19.00 to $20.00 per hour. In addition to your base pay, you will also enjoy a comprehensive benefits package, including:

• Work from Home: careerzynith is a fully remote company, providing you with the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
• Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
• Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
• Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
• Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
• Take Time for Yourself: We offer Flexible Time Off tailored to meet your needs and the needs of the business, helping you achieve work-life balance and meet your personal goals.
• Support Your New Family: Welcoming a new family member takes time and commitment. careerzynith offers paid parental leave to give you the time you need.
• Learn and Grow: Your professional growth is important to us. careerzynith offers various resources dedicated to your learning and development to advance your career with us.

Equal Opportunity Employment

careerzynith is an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.

Commitment to Protection of Patient and Company Data

This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under careerzynith's custodianship as well as careerzynith Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.

Submit Your Application

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