Experienced Healthcare Customer Service Advocate – Insurance Plan Support and Member Engagement

At careerzynith, we're dedicated to delivering exceptional customer experiences that exceed our members' expectations. As a Healthcare Customer Service Advocate, you'll play a vital role in ensuring our members receive the support they need to navigate their insurance plans and benefits. If you're passionate about healthcare, customer service, and making a difference in people's lives, we want to hear from you.

About careerzynith

careerzynith is a leading provider of innovative healthcare solutions, committed to empowering individuals and families to take control of their health and well-being. Our team of dedicated professionals is passionate about delivering exceptional customer experiences, and we're seeking like-minded individuals to join our ranks. As a remote-based organization, we offer the flexibility and autonomy to work from anywhere, while still being part of a dynamic and collaborative team.

About the Role

As a Healthcare Customer Service Advocate, you'll be the first point of contact for our members, providing timely and accurate support for their insurance-related inquiries. Your expertise will help our members navigate the complexities of various insurance plan types, including Commercial, Individual Products, HIX, and Government Plans (Medicaid/Medicare). You'll also be responsible for:

Key Responsibilities:

*

Phone Skills:

+ Receive and respond to member inquiries via inbound calls using NICE inContact - Max Agent. + Make outbound calls to members, vendors, and other departments. + Follow established call flow processes for member interactions. + Understand and apply protocols for using the language line for effective communication.

Eligibility and Enrollment:

+ Verify member status, including ID numbers and personal information, using Salesforce, CSC, and QNXT. + Confirm member eligibility and plan effective dates. + Manage member correspondence, including sending plan documents and updating demographics.

Additional Responsibilities:

+ Collaborate with internal teams to resolve member issues and concerns. + Stay up-to-date on regulatory changes and industry developments to ensure compliance and accuracy. + Participate in ongoing training and development to enhance your skills and knowledge.

Essential Qualifications:

* 2+ years of experience in a customer service or healthcare-related role.

• Strong understanding of various insurance plan types, including Commercial, Individual Products, HIX, and Government Plans (Medicaid/Medicare).
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced, dynamic environment.
• Proficiency in using Salesforce, CSC, and QNXT.
• High school diploma or equivalent required; associate's or bachelor's degree preferred.

Preferred Qualifications:

* Experience working in a remote-based organization.

• Familiarity with NICE inContact - Max Agent.
• Certification in customer service or healthcare-related field (e.g., CCM, CPC, or CHAA).
• Bilingual or multilingual skills.

Skills and Competencies:

* Strong problem-solving and analytical skills.

• Excellent active listening and communication skills.
• Ability to work independently and as part of a team.
• Strong attention to detail and organizational skills.
• Proficiency in using technology, including CRM systems and software applications.
• Ability to adapt to changing priorities and deadlines.

Career Growth Opportunities and Learning Benefits:

At careerzynith, we're committed to helping our employees grow and develop their careers. As a Healthcare Customer Service Advocate, you'll have access to:

• Ongoing training and development programs to enhance your skills and knowledge.
• Opportunities for career advancement and professional growth.
• Collaborative and supportive team environment.
• Flexible work arrangements and remote work options.
• Competitive compensation and benefits package.

Work Environment and Company Culture:

careerzynith is a remote-based organization, offering the flexibility and autonomy to work from anywhere. Our team is passionate about delivering exceptional customer experiences, and we're committed to creating a collaborative and supportive work environment. As a Healthcare Customer Service Advocate, you'll be part of a dynamic and dedicated team that's making a difference in people's lives.

Compensation, Perks, and Benefits:

careerzynith offers a competitive compensation package, including:

• Competitive salary.
• Comprehensive benefits package, including medical, dental, and vision insurance.
• 401(k) retirement plan with company match.
• Paid time off and holidays.
• Flexible work arrangements and remote work options.

How to Apply:

Ready to join our team and make a difference in people's lives? Click the link below to apply for the Healthcare Customer Service Advocate position. Don't miss this opportunity to join a dynamic and collaborative team that's passionate about delivering exceptional customer experiences. Apply now and take the first step towards a rewarding career at careerzynith! Apply for this job