Experienced Customer Experience Representative - INBOUND (Remote/WFM)

Remote, USA Full-time Posted 2026-05-31
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At careerzynith, we're on a mission to revolutionize the way we deliver exceptional customer experiences. As a dedicated Representative, Customer Experience - INBOUND, you'll play a vital role in shaping the future of our organization. We're seeking a highly skilled and passionate individual to join our team, providing top-notch support to our members and providers.

  • *About careerzynith**

careerzynith is a leading healthcare organization committed to providing quality care to individuals receiving government assistance. With a strong focus on innovation and customer satisfaction, we're constantly pushing the boundaries of what's possible in the industry. Our team is comprised of talented professionals who share a common goal: to make a meaningful difference in the lives of others.

  • *Job Summary**

As a Representative, Customer Experience - INBOUND, you'll be responsible for delivering exceptional service to our members and providers through various communication channels. This role requires a strong skillset in customer service, problem-solving, and communication. You'll work closely with internal and external departments to ensure seamless resolution of customer inquiries and concerns.

  • *Key Responsibilities**
  • Provide service support to members and/or providers using one or more contact center communication channels, including phone, chat, email, and off-phone work, across multiple states and/or products.
  • Conduct various surveys related to health assessments and member/provider satisfaction.
  • Accurately document pertinent details related to Member or Provider inquiries.
  • Work regularly scheduled shifts within our hours of operation, including lunches and breaks, and be available to work overtime and/or weekends as needed.
  • Demonstrate ability to quickly build rapport and respond to customers in an empathetic manner by identifying and exceeding customer expectations.
  • Aptitude to listen attentively, capture relevant information, and identify Member or Provider's inquiries and concerns.
  • Meet/exceed individual performance goals established for the position in the areas of: Call Quality, Attendance, Adherence, and other Contact Center objectives.
  • Proactively engage and collaborate with internal/external departments.
  • Personal responsibility and accountability by taking ownership of providing resolutions in real-time or through timely follow-up with the Member and/or Provider.
  • Support provider needs for basic inquiries and assistance involving member eligibility and covered benefits, Provider Portal, and status of submitted claims.
  • Effectively communicate in a professional setting.
  • *Essential Qualifications**
  • High School Diploma or equivalent combination of education and experience.
  • 1-3 years of Sales and/or Customer Service experience in a fast-paced, high-volume environment.
  • Strong communication and interpersonal skills.
  • Ability to work in a team environment and adapt to changing priorities.
  • Proficiency in Microsoft Office and other relevant software applications.
  • *Preferred Qualifications**
  • Associate's Degree or equivalent combination of education and experience.
  • 1-3 years of experience in a contact center environment.
  • Familiarity with Genesys, Salesforce, Pega, QNXT, CRM, Verint, Kronos, Microsoft Teams, Video Conferencing, CVS Caremark, and Availity.
  • Experience working with Medicaid, Medicare, and/or Marketplace business.
  • *Skills and Competencies**
  • Excellent communication and interpersonal skills.
  • Strong problem-solving and analytical skills.
  • Ability to work in a fast-paced environment and adapt to changing priorities.
  • Proficiency in Microsoft Office and other relevant software applications.
  • Strong customer service skills and ability to provide exceptional service to members and providers.
  • Ability to work independently and as part of a team.
  • Strong time management and organizational skills.
  • *Career Growth Opportunities and Learning Benefits**

At careerzynith, we're committed to helping our employees grow and develop their careers. As a Representative, Customer Experience - INBOUND, you'll have access to:

  • Ongoing training and development opportunities to enhance your skills and knowledge.
  • Opportunities for career advancement and professional growth.
  • A collaborative and supportive work environment.
  • Recognition and rewards for outstanding performance.
  • *Work Environment and Company Culture**

careerzynith is a dynamic and innovative organization that values diversity, equity, and inclusion. Our team is comprised of talented professionals who share a common goal: to make a meaningful difference in the lives of others. We're committed to creating a work environment that's inclusive, supportive, and empowering.

  • *Compensation, Perks, and Benefits**

careerzynith offers a competitive benefits and compensation package, including:

  • Competitive hourly rate: $20.29 - $28.82 per hour.
  • Opportunities for career advancement and professional growth.
  • Ongoing training and development opportunities.
  • Recognition and rewards for outstanding performance.
  • A collaborative and supportive work environment.
  • Comprehensive benefits package, including medical, dental, and vision insurance.
  • 401(k) retirement plan with company match.
  • Paid time off and holidays.
  • *How to Apply**

If you're a motivated and customer-focused individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We can't wait to hear from you!

  • *Equal Opportunity Employer**

careerzynith is an Equal Opportunity Employer (EOE) and welcomes applications from diverse candidates. We're committed to creating a work environment that's inclusive, supportive, and empowering.

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