Job Description
At careerzynith, we are committed to delivering exceptional customer experiences that exceed our clients' expectations. As a key member of our customer service team, the Concierge Customer Service Representative will play a vital role in providing top-notch support to our valued customers. If you possess excellent communication skills, a passion for problem-solving, and a knack for building strong relationships, we encourage you to apply for this exciting opportunity.
- *About careerzynith**
careerzynith is a leading provider of innovative solutions in the healthcare industry. Our mission is to empower individuals and organizations to achieve their goals through cutting-edge technology, expert guidance, and unparalleled customer support. With a strong focus on collaboration, innovation, and customer satisfaction, we strive to make a positive impact on the lives of our clients and their customers.
- *Job Summary**
We are seeking an experienced Concierge Customer Service Representative to join our remote team. As a Concierge Customer Service Representative, you will be responsible for providing exceptional customer service to our clients, responding to inquiries, and resolving complex issues in a timely and professional manner. If you are a customer-focused individual with a strong work ethic and a passion for delivering outstanding results, we encourage you to apply for this exciting opportunity.
- *Key Responsibilities**
- Respond to telephone and email inquiries received from members and providers within defined service standards
- Negotiate with providers to gain acceptance for plans without network agreements and/or out of network providers
- Assist members with benefits and healthcare questions
- Document all calls received in system-based call log
- Perform other duties as assigned by management
- *Requirements and Qualifications**
- **Education:** Minimum HS Diploma/GED, 2 years college or higher education preferred
- **Experience:** One year Customer Service/Call Center experience in a healthcare-related role, with a strong preference for Medical Intake or Third-Party Administrator (TPA) experience
- **Language Skills:** Bilingual English-Spanish a plus
- **Skills and Competencies:** + Patience and ability to handle difficult situations tactfully and diplomatically+ Strong customer relations, interpersonal skills+ Strong appreciation and ability to handle confidential & sensitive information+ Proficient with Microsoft applications, strong computer skills and computer navigation+ Excellent data entry and typing skills+ Knowledge of provider organizations and networks+ Knowledge and understanding of CMS Medicare reimbursement rates+ Ability to effectively negotiate rate structures+ Takes initiative to resolve situations and to accomplish projects actions and tasks+ Excellent verbal and written communication skills+ Independent judgment in decision making and problem solving+ Ability to multi-task & anticipate potential needs/problems+ Ability to build relationships with internal and external customers+ Medical Terminology+ Strong attention to detail+ Understanding of Self-Funded health benefits a plus+ Claim processing skills a plus+ Insurance verification or pre-certification a plus+ Provider office/facility billing department or financial area+ Strong analytical and research skills
- *Work Environment and Physical Demands**
This position is in a typical office/home office environment, which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including operation of standard computer and phone equipment.
- *Compensation and Benefits**
The pay range for this position is $16.00 to $18.00. careerzynith offers a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.
- *Career Growth Opportunities and Learning Benefits**
At careerzynith, we are committed to helping our employees grow and develop their careers. We offer a range of training and development programs, including on-the-job training, mentorship, and professional certification opportunities. Our employees also have access to a range of benefits, including tuition reimbursement, flexible work arrangements, and employee recognition programs.
- *Company Culture**
careerzynith is a dynamic and fast-paced organization that values innovation, collaboration, and customer satisfaction. We are committed to creating a work environment that is inclusive, diverse, and supportive of our employees' needs. Our employees are passionate about delivering exceptional results and making a positive impact on the lives of our clients and their customers.
- *How to Apply**
If you are a motivated and customer-focused individual with a strong work ethic and a passion for delivering outstanding results, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your qualifications and experience. We look forward to hearing from you!
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