Customer Service Representative – Remote Behavioral Health Member Advocacy, Claims Resolution & Benefits Guidance (Mon‑Fri 11:45 AM‑8:15 PM EST)

About careerzynith – Transforming Health Care with Heart

At careerzynith, we believe that health care is most powerful when it’s delivered with genuine compassion. Our purpose—“Bringing our heart to every moment of your health”—drives a culture where every interaction matters. From the moment a member calls our line to the final resolution of a claim, we aim to make the experience personal, convenient, and affordable. As a leader in the health‑care industry, careerzynith blends cutting‑edge technology with a human‑first approach, empowering our employees to innovate, grow, and make a real difference in the lives of millions.

Position Summary

The Behavioral Health Customer Service Representative is the frontline advocate for our members. In this fully remote role, you will guide members through their benefits, clarify claims, and connect them with online resources that support their mental and emotional well‑being. Your empathy, attention to detail, and knowledge of careerzynith policies will help members navigate complex health plans with confidence.

Role Overview

• Schedule: Monday‑Friday, 11:45 AM – 8:15 PM EST
• Location: 100 % remote – work from anywhere in the United States
• Team Environment: Collaborative, supportive, and driven by a shared mission to put members first

Key Responsibilities

• Guide members through their plan of benefits, explaining careerzynith policy details, coverage limits, and procedural steps.
• Build authentic emotional connections by actively listening, showing empathy, and championing each member’s health goals.
• Take ownership of each interaction, ensuring a thorough understanding of the member’s needs and delivering tailored solutions.
• Anticipate and proactively address potential concerns, offering preventive guidance before issues arise.
• Review member claim histories to verify benefit maximums, coinsurance, and deductible balances, ensuring accurate tracking.
• Maintain and update financial data related to member accounts, guaranteeing compliance with regulatory standards.
• Educate members on their rights and responsibilities, clearly outlining contract terms and how they impact care.
• Utilize careerzynith’s digital tools and online resources to empower members with self‑service options and educational content.
• Collaborate with internal teams—claims, underwriting, and clinical specialists—to resolve complex inquiries swiftly.
• Document all interactions in the CRM system with precision, supporting continuous improvement initiatives.

Essential Qualifications

• 1–3 years of customer service experience in a call‑center environment, demonstrating consistent high‑quality service delivery.
• Proven ability to communicate complex information clearly and compassionately.
• Strong problem‑solving skills with a track record of resolving issues efficiently.
• Excellent verbal and written communication skills, with a focus on active listening.
• Basic proficiency with computer systems, CRM platforms, and Microsoft Office Suite.
• High school diploma or GED required.

Preferred Qualifications

• Previous experience in behavioral health, mental health services, or related fields.
• Background in medical insurance, health‑care administration, or a related discipline.
• Associate’s degree in health administration, psychology, or a comparable area of study.
• Familiarity with careerzynith’s benefit structures and regulatory compliance requirements.
• Certification in customer service excellence or related professional development programs.

Compensation & Benefits Overview

careerzynith offers a competitive hourly wage ranging from $17.00 to $28.46, reflective of experience, education, and geographic location. In addition to base pay, you may be eligible for performance‑based bonuses, commissions, or short‑term incentive programs.

Our comprehensive benefits package includes:

• Medical, dental, and vision coverage with multiple plan options.
• 401(k) retirement savings plan with company matching contributions.
• Employee Stock Purchase Plan (ESPP) for eligible participants.
• Fully‑paid term life insurance, short‑term and long‑term disability coverage.
• Generous paid time off (PTO), vacation accrual, and paid holidays aligned with state regulations.
• Well‑being programs such as mental‑health resources, fitness discounts, and wellness challenges.
• Education assistance, tuition reimbursement, and free development courses to support continuous learning.
• Exclusive careerzynith store discounts and partner‑program savings.

Career Growth & Development

careerzynith invests heavily in employee growth. As a Behavioral Health Customer Service Representative, you will have access to:

• Structured mentorship programs pairing you with seasoned professionals in health‑care operations.
• Internal training pathways that can lead to advanced roles in claims management, case coordination, or health‑care consulting.
• Opportunities to cross‑train in related departments, expanding your skill set and visibility across the organization.
• Regular performance reviews that focus on career aspirations, ensuring you have a clear roadmap to promotion.

Work Environment & Culture at careerzynith

Our remote workforce thrives on flexibility, autonomy, and a supportive community. careerzynith promotes:

• A culture of inclusion where diverse perspectives are celebrated and every voice matters.
• Regular virtual team‑building events, wellness webinars, and peer recognition programs.
• State‑of‑the‑art technology that enables seamless collaboration, secure data handling, and efficient workflow.
• Clear communication channels that keep remote employees informed, engaged, and aligned with corporate goals.

Why Join careerzynith?

If you are passionate about making a tangible difference in the lives of individuals navigating behavioral health challenges, careerzynith offers a purpose‑driven platform where your empathy and expertise are valued. You will be part of a mission‑focused organization that not only rewards performance but also nurtures personal well‑being and professional ambition.

Application Process

Ready to bring your heart to careerzynith? Submit your application today and become a vital part of a team that transforms health care, one compassionate conversation at a time.

Apply Now