Experienced Customer Operations Specialist – Auto Claims and Insurance Billing

At careerzynith, we're dedicated to revolutionizing the specialized claims management industry, empowering healthcare providers to deliver exceptional patient care. With over 25 years of experience, we've established ourselves as a leader in the field, and we're now seeking a talented Customer Operations Specialist to join our team. As a remote worker, you'll have the flexibility to work from the comfort of your own home, while making a meaningful impact on the lives of patients and healthcare providers alike.

About careerzynith

careerzynith is a dynamic and innovative company that's passionate about helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We're powered by people, driven by technology, and dedicated to our clients and employees. Our collaborative and diverse culture offers a great work-life balance, and we're committed to fostering a culture of belonging and inclusion.

Perks of Working at careerzynith

* Paid training and incentive plans

• Comprehensive medical, dental, vision, and life insurance benefits available from the first day of employment
• Excellent work-life balance
• Employee Resource Groups that build community and foster a culture of belonging and inclusion
• 401(k) matching contributions
• Career growth opportunities
• 12 paid holidays and generous paid time off

The Role: Customer Operations Specialist – Auto Claims and Insurance Billing

As a Customer Operations Specialist at careerzynith, you'll be responsible for investigating, billing, and maximizing payments on medical claims to insurance companies on behalf of our clients (hospitals and medical providers). You'll make high-volume, outbound calls to patients, insurance company representatives, and attorneys to determine who the payer will be. Once confirmed, you'll submit the bills and proper documentation to the insurance company, ensuring maximized payments to our clients.

Training and Support

Our comprehensive training program begins on your first day and lasts 8-10 business days. Led by experienced instructors, the training incorporates interactive discussions and hands-on activities to accommodate diverse learning preferences. Success starts with training, and we ask all new team members to be fully present each day, participate actively, and remain on camera.

Your Day

You'll be busy investigating and researching details of an auto accident to determine who the payer will be. This will require a high volume of outbound calls to patients, insurance company representatives, and attorneys. Once confirmed, you'll submit the bills and proper documentation to the insurance company, ensuring maximized payments to our clients. If the bills aren't paid correctly, you'll determine follow-up steps and resubmit bills for additional payment. You'll also contribute to your team with various denial reports, audits, and overall support.

Requirements and Qualifications

* High school diploma or equivalent required; associate's or bachelor's degree preferred

• 1-2 years of experience in customer service, claims processing, or a related field
• Working knowledge of Microsoft Office (Word, Excel, Outlook)
• Technical proficiency to work on multiple computer screens and software applications simultaneously
• Strong performance in a fast-paced environment with productivity metrics
• Ability to remain organized while multi-tasking
• Critical thinking and problem-solving skills to find effective and efficient solutions
• Excellent communication skills, both verbally and in writing
• Ability to work independently and as part of a team
• Experience with Coordination of Benefits and a general understanding of insurance billing (a plus, but not required)

How We'll Set You Up for Success

* Extensive multi-week training with ongoing support from teammates following training

• Access to a robust knowledgebase for continued reference in your role
• Visibility to your individual performance metrics enables you to set goals
• Computers and necessary work equipment are provided
• Involved management who leans in to support your productivity metrics

Work at Home Requirements

* Private, distraction-free environment to work from in your home

• On-Camera Presence: Being on camera is an essential part of our culture – it helps build trust, support collaboration, and strengthen team connections
• Secure internet connection
• Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads
• Workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive

Must Reside in the United States within One of the Following States

* Alabama, Arkansas, Delaware, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia

Equal Opportunity Employer

careerzynith is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status. We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.

How to Apply

If you're a motivated and detail-oriented individual who is passionate about making a difference in the lives of patients and healthcare providers, we encourage you to apply for this exciting opportunity. Visit our website to learn more about careerzynith and our culture, and to submit your application. Apply for this job