Experienced Healthcare Provider Customer Service Representative - Remote Call and Chat Support Specialist (Eastern, Central & Mountain Time Zones)

About careerzynith: Transforming Healthcare Together

At careerzynith, we're revolutionizing the healthcare experience by creating healthier communities and removing barriers to quality care. We believe that everyone deserves access to affordable, responsive, and equitable healthcare, and we're building the health care system of tomorrow to make that vision a reality. When you join careerzynith, you're not just taking a job—you're becoming part of a mission-driven organization that impacts the lives of millions of people for the better. We're committed to making a difference in healthcare delivery, and your work will be at the heart of that transformation.

The Opportunity: Provider Customer Service Representative

We're seeking dedicated and compassionate individuals to join our team as Provider Customer Service Call and Chat Representatives. This remote position offers the flexibility to work from home while making a meaningful impact on healthcare delivery. If you're located within the Eastern, Central, or Mountain Time Zones, you'll have the opportunity to telecommute* as you tackle challenging and rewarding work that directly supports healthcare providers caring for our members.

This full-time (40 hours/week) position is perfect for customer service professionals who thrive in a dynamic environment and are passionate about improving healthcare experiences. You'll be the vital link between healthcare providers and the resources they need to serve our members effectively.

Why Join careerzynith?

• Meaningful Impact: Your work directly affects the lives of millions, helping to create a more responsive and equitable healthcare system.
• Remote Flexibility: Work from the comfort of your home while maintaining a healthy work-life balance.
• Comprehensive Training: Receive 14 weeks of paid virtual training to set you up for success in your role.
• Career Growth: Clear pathways for advancement and opportunities to develop skills for other roles within careerzynith.
• Recognition: Be rewarded and recognized for your performance in an environment that values your contributions.

Key Responsibilities

As a Provider Customer Service Representative at careerzynith, you'll serve as the primary advocate for healthcare providers, ensuring they have the information and support needed to care for our members effectively. Your key responsibilities will include:

• Demonstrating accountability and ownership to resolve provider issues and concerns
• Supporting providers through multiple communication channels, including phone calls and concurrent chat
• Quickly and appropriately triaging contacts from healthcare professionals, including physician offices, clinics, and billing offices
• Understanding and addressing provider needs related to benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits (EOB), and behavioral health
• Researching and resolving complex prior authorization and claim issues to prevent repeat contacts, escalations, and provider dissatisfaction
• Collaborating effectively with internal partners to ensure timely resolution and thorough communication
• Mastering multitasking skills to navigate more than 30 different systems to extract necessary information
• Guiding providers to utilize self-service digital tools, highlighting how these resources can lead to faster resolution of issues

Qualifications & Requirements

Required Qualifications

• High School Diploma, GED, or equivalent work experience
• Minimum 1+ year of customer service experience with a proven track record of analyzing and resolving customer concerns
• Experience with computer applications, including the ability to navigate and learn new and complex computer systems
• Typing speed of 35-40+ WPM with 90% accuracy
• Must be 18 years of age or older
• Ability to work any full-time (40 hours/week), 8-hour shift between 10:35 AM - 7:05 PM CST, Monday through Friday
• Willingness to work occasional overtime, weekends, and/or holidays as business needs require
• Reside within Eastern, Central, or Mountain Time Zone
• Ability to maintain a dedicated, private workspace separate from living areas
• Access to a reliable high-speed internet connection

Preferred Qualifications

• Prior healthcare experience and knowledge of healthcare terminology
• Experience in office, call center, or customer service environments where phones and computers are primary tools
• Familiarity with healthcare claims processing or provider services
• Experience working with electronic health records (EHR) systems

Essential Skills for Success

To excel in this role at careerzynith, you'll need to demonstrate a range of soft skills that enable you to provide exceptional service in a fast-paced healthcare environment:

• Multitasking Ability: Skillfully handling multiple conversations simultaneously while maintaining accuracy and professionalism
• Problem Resolution: Proactively addressing issues to prevent escalated complaints and provider dissatisfaction
• Time Management: Prioritizing tasks effectively to meet service level agreements and quality standards
• Emotional Intelligence: Understanding and managing your emotions while responding appropriately to provider needs
• Empathy: Genuinely connecting with providers to understand their challenges and concerns
• Active Listening: Fully comprehending provider questions and concerns before formulating responses
• Written Communication: Clear, concise, and professional written communication in chat and email interactions
• Problem Solving: Analyzing complex issues systematically to develop effective solutions
• Organization: Maintaining structure in a dynamic environment with multiple concurrent tasks
• Interpersonal Skills: Building rapport and trust with providers and internal partners
• Quality Focus: Consistently achieving high standards for service quality and productivity

Training & Development

At careerzynith, we're committed to setting you up for success. This position includes a comprehensive 14-week paid training program conducted virtually from your home. Training hours will be 8:00 AM - 4:30 PM CST, Monday through Friday, during which you'll gain in-depth knowledge of:

• Healthcare industry fundamentals and terminology
• careerzynith products, services, and systems
• Customer service excellence in a healthcare context
• Technical skills required for the role
• Specialized areas like benefits, billing, and authorizations

Our training doesn't stop once you're fully onboarded. We provide ongoing development opportunities to help you grow your career at careerzynith, including advanced certifications, skill-building workshops, and clear pathways for advancement into specialized roles or leadership positions.

Work Environment & Culture

careerzynith values a diverse, inclusive, and supportive work environment where everyone can do their life's best work. As a remote team member, you'll experience:

• A culture that recognizes and rewards exceptional performance
• Clear expectations and regular feedback to support your growth
• Collaborative virtual team environments that foster connection and support
• Access to resources that enable you to thrive while working remotely
• Commitment to work-life balance with flexible scheduling options

We believe that diversity creates a healthier atmosphere, and we're committed to building a team that represents a variety of backgrounds, perspectives, and experiences. careerzynith is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants receive consideration 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.

Compensation & Benefits

careerzynith offers a comprehensive compensation package designed to recognize your contributions and support your well-being. While specific compensation varies based on factors like location, experience, and qualifications, we remain committed to offering competitive pay that aligns with local labor markets and meets all minimum wage requirements.

In addition to your base compensation, you'll have access to a robust benefits package that may include:

• Health, dental, and vision insurance options
• Retirement savings plans with employer contributions
• Wellness programs and resources
• Paid time off and holidays
• Incentive and recognition programs
• Opportunities for professional development and continuing education
• Employee assistance programs

Please note that specific benefits are subject to eligibility requirements and may vary based on your employment status and location.

How to Apply

Ready to make a difference in healthcare and join careerzynith as a Provider Customer Service Representative? We invite you to apply for this rewarding remote position. This opportunity is posted for a minimum of 2 business days or until a sufficient candidate pool has been collected, so we encourage you to apply promptly.

As an equal opportunity employer, careerzynith is committed to creating a diverse and inclusive workplace where all employees can thrive. We look forward to reviewing your application and potentially welcoming you to our team of healthcare professionals dedicated to making a positive impact.

*All telecommuters will be required to adhere to careerzynith's Telecommuter Policy, including maintaining a secure work environment and protecting company-sensitive information.