Experienced Senior Customer Service Representative – Remote in careerzynith

Join careerzynith, a global organization that delivers care, aided by technology to help millions of people live healthier lives. As a Senior Customer Service Representative at careerzynith, you will play a vital role in connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Our team is guided by diversity and inclusion, and we offer comprehensive benefits, career development opportunities, and a culture that values compassion, empathy, and problem-solving skills.

About careerzynith

careerzynith is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location, and income – deserves the opportunity to live their healthiest life. Our team is committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

Job Summary

We are seeking an experienced Senior Customer Service Representative to join our team. As a Senior Customer Service Representative, you will be responsible for reviewing and researching incoming healthcare claim calls from providers, verifying data and information necessary for processing, and communicating with providers to resolve issues. You will work in a fast-paced environment, navigating multiple computer systems and platforms, and will be required to meet performance goals in the areas of efficiency, accuracy, quality, and attendance.

Responsibilities

* Review and research incoming healthcare claim calls from providers (doctors, clinics, etc.) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)

• Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
• Communicate and collaborate with providers to resolve issues, using clear, simple language to ensure understanding
• Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, and attendance
• Work in a team environment to resolve complex customer issues and provide excellent customer service
• Participate in ongoing training and development to improve skills and knowledge
• Collaborate with other departments to resolve issues and improve processes

Requirements

* High School Diploma / GED

• Must be 18 years of age OR older
• Working knowledge with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Ability to work any of our 8-hour shift schedules during our normal business hours of 8:30am – 5:00pm CST, Monday – Friday. It may be necessary, given the business need, to work occasional overtime or weekends
• 1 year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• Health care experience

Preferred Qualifications

* 2+ years of experience in a customer service role

• Experience working in a fast-paced environment
• Strong problem-solving skills and ability to work independently
• Excellent communication and interpersonal skills
• Ability to work in a team environment and collaborate with others
• Experience with computer systems and platforms

Telecommuting Requirements

* Reside within Central OR Mountain Time Zone

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills

* Ability to de-escalate calls, listen to customer needs and respond appropriately with compassion and empathy

• Ability to multi-task for extended periods of time, including managing calls while also navigating multiple computer systems
• Ability to remain organized, focused, and productive on highly detailed repetitive tasks
• Excellent problem-solving skills, including the ability to independently research issues using multiple information sources
• All employees working remotely will be required to adhere to careerzynith’s Telecommuter Policy

Compensation and Benefits

* Competitive salary

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Paid time off and holidays
• Opportunities for career growth and development

Application Process

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Diversity and Inclusion

careerzynith is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Drug-Free Workplace

careerzynith is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply for this job