Experienced Customer Service Representative – Remote Call Center Support

At careerzynith, we're dedicated to delivering exceptional customer experiences that exceed expectations. As a key member of our remote call center team, you'll play a vital role in providing top-notch support to our customers, ensuring their needs are met with professionalism, empathy, and expertise. If you're passionate about delivering outstanding customer service, possess excellent communication skills, and thrive in a fast-paced environment, we want to hear from you!

About careerzynith

careerzynith is a leading non-profit healthcare organization committed to improving the lives of our members and providers. We're driven by a passion for innovation, a commitment to excellence, and a dedication to making a positive impact in our community. Our team is comprised of talented individuals who share our vision and values, and we're excited to welcome like-minded professionals to join our ranks.

Job Summary

We're seeking an experienced Customer Service Representative to join our remote call center team. As a key member of our team, you'll be responsible for providing exceptional customer service, resolving inquiries and concerns, and working closely with internal departments to achieve our organization's goals. If you're a customer-focused individual with excellent communication skills, a passion for problem-solving, and a commitment to delivering outstanding results, we encourage you to apply.

Key Responsibilities

* Answer incoming calls, demonstrating a customer-focused philosophy for all customers, including providers, members, potential members, state agencies, and other internal and external customers.

• Explain existing policies, procedures, and benefits to members, providers, and internal departments.
• Research, resolve, and document customer inquiries, concerns, and issues, providing accurate information and education for all inquiries.
• Conduct outgoing calls to customers for follow-up, benefit information, member and provider retention, claims, and other inquiries as needed.
• Utilize resource materials, policies, and procedures, handouts, databases, training opportunities, and multiple systems to help with day-to-day activity.
• Provide clear and thorough documentation into our CRM tool for each call received.
• Maintain strict confidentiality of member, provider, clinical, and organizational information.
• Communicate clearly and effectively with all internal departments and staff, as well as members, providers, state agencies, and other external contacts.
• Work closely with all departments and multidisciplinary teams in support of company goals related to development and implementation of new lines of business, increased enrollment, and compliance with state and federal regulations and NCQA requirements.
• Assist with departmental projects as necessary and directed by the Customer Service management team. Perform other duties as assigned in between calls or during slow periods.

Essential Qualifications

* 1-2 years of customer service experience

• Strong Microsoft Office skills
• High School diploma or equivalent required
• Medical insurance (Medicare and Medicaid) eligibility/enrollment (highly preferred)
• Ability to identify and appropriately handle grievances and appeals, and to facilitate quality of outcomes and/or resolutions for the benefit of all applicable parties
• Demonstrates support for the client's mission, vision, and values
• Strong written and verbal communication skills, problem-solving skills, attention to detail, organizational, and time management skills, and ability to handle multiple priorities

Preferred Qualifications

* 1-2 years of call center experience

• Customer service experience in the healthcare industry
• Strong knowledge of medical insurance (Medicare and Medicaid) eligibility/enrollment

What We Offer

* Competitive hourly rate: $19-$24 per hour, depending on experience

• Comprehensive benefits package, including:

+ Dental insurance + Health insurance + Vision insurance

• Opportunity to work with a dynamic and innovative organization
• Collaborative and supportive work environment
• Professional development and growth opportunities
• Flexible remote work arrangement

How to Apply

If you're a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply. Please click the link below to submit your application. Apply to this job

Simple Application Process

Ready to join our team? The first step is easy. Click apply now and we'll be in touch soon!

About careerzynith

careerzynith is an equal opportunity employer committed to diversity, equity, and inclusion. We welcome applications from qualified candidates who share our values and are passionate about delivering exceptional customer service. Apply for this job