Experienced Customer Service Representative – Remote Opportunity to Revolutionize Healthcare

At careerzynith, we're on a mission to empower better health outcomes through technology, services, and clinical expertise. As a Customer Service Representative, you'll play a vital role in delivering exceptional customer experiences and driving business growth. If you're passionate about making a difference in people's lives, we invite you to join our team of dedicated professionals who share our commitment to innovation and excellence.

About careerzynith

careerzynith is a leading provider of health solutions in the public sector. Our team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals come together to redefine expectations for the healthcare industry. We're proud to be a vital partner for state and federal healthcare agencies, providers, and employers, working together to ensure better healthcare and improve health outcomes.

Job Summary

We're seeking an experienced Customer Service Representative to join our growing team. As a Customer Service Representative, you'll be responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints, and requests, adhering to internal policies and procedures, and utilizing working knowledge of the organization's services to meet productivity and quality standards.

Key Responsibilities

* Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operational)

• Utilizes automated systems to log and retrieve information, performs accurate and timely data entry of electronic faxes
• Receives inquiries from customers or providers by telephone, email, fax, or mail and communicates response within required turnaround times
• Responds to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures
• Interacts with hospitals, physicians, beneficiaries, or other program recipients
• Investigates and resolves or reports customer problems, identifies and escalates difficult situations to the appropriate party
• Meets or exceeds standards for call volume and service level per department guidelines
• Initiates files by collecting and entering demographic, provider, and procedure information into the system
• Serves as liaison between the Review Supervisors and external providers
• Maintains logs and documents disposition of incoming and outgoing calls

Requirements

* High School diploma or equivalent

• 2+ year's customer service/telephone experience in a similar call center environment and/or industry
• Ability to effectively communicate with team members and external customers
• Ability to research and resolve issues related to Medicaid program and service eligibility

Preferred Qualifications/Experience

* Previous experience in the medical office or other medical setting preferred

• General knowledge of eligibility verification (Medicaid eligibility and program requirements for specific program of focus preferred)
• Knowledge of CPT and HCPCS codes preferred
• PC proficiency to include Microsoft Office Suite
• Experience with Microsoft programs

Benefits

At careerzynith, we believe that our employees are our greatest asset. That's why we offer a comprehensive benefits package designed to provide additional protection, security, and support for both your career and your life away from work. Our benefits include:

• Comprehensive health plans
• Paid time off
• Retirement savings
• Corporate wellness
• Educational assistance
• Corporate discounts
• And more!

Compensation

The pay range for this position is $15.85 - $18.20. Based on our compensation philosophy, an applicant's placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

Why Join careerzynith?

We're a company that cares about our employees and gives you the tools and encouragement you need to achieve the finest work of your career. You'll have meaningful work that genuinely improves people's lives across the country. Join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

How to Apply

If you're a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We're excited to review your application. Apply To This Job

Equal Opportunity Employer

careerzynith is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Apply for this job