Experienced Customer Service Representative – Health Plan Benefits and Services

At careerzynith, we're committed to delivering exceptional healthcare experiences to our patients, members, and communities. As a Customer Service Representative, you'll play a vital role in assisting and educating members, employer groups, providers, colleagues, and agents about health plan benefits and services. If you're passionate about providing top-notch customer service and have a knack for resolving complex issues, we want to hear from you!

• *About careerzynith**

careerzynith is a nationally recognized health system with a mission to improve health, instill humanity, and inspire hope. We're dedicated to cultivating and investing in our team members, providing a comprehensive benefits package, and promoting a culture of diversity, equity, and inclusion. Join our team and be part of a collaborative environment where you can bring your whole self to work.

• *Key Responsibilities**

As a Customer Service Representative, you'll be responsible for:

• Analyzing, evaluating, resolving, and responding to service inquiries from members, providers, employer groups, colleagues, agents, and others within departmental guidelines.
• Partnering with internal and external resources to provide customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing, and claim status.
• Promptly identifying and resolving or escalating customer concerns or complaints to achieve positive outcomes.
• Assisting walk-in members and agents if assigned by leadership.
• Adhering to established procedures and quality guidelines in support of careerzynith's service promise, key drivers, performance indicators, and corporate values.
• Identifying potential trends or issues that impact health plan members and working with coworkers and leadership resources to suggest process improvements.
• Assisting members with administrative issues, such as submitting enrollment record changes, providing letters explaining coverage or benefits, and obtaining and relaying member information to other departments as needed.
• Facilitating claims resolution through follow-up on member calls and correspondence received to appropriate departments.
• Effectively tracking and/or documenting all service interactions with customers within appropriate systems according to guidelines.
• Developing and maintaining behaviors of productivity, availability to customers, and adherence to work schedule.

• *Essential Qualifications**

• High School Diploma or equivalent required; Associate's Degree preferred.
• 1 year of relevant experience in a related field required.

• *Preferred Qualifications**

• Associate's Degree in a related field.
• Previous experience in a customer service or call center environment.

• *Skills and Competencies**

• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced environment and prioritize multiple tasks.
• Strong problem-solving and analytical skills.
• Proficiency in using computer systems and software applications.
• Ability to maintain confidentiality and handle sensitive information.
• Strong customer service skills and a commitment to delivering exceptional experiences.

• *Career Growth Opportunities and Learning Benefits**

At careerzynith, we're committed to investing in our team members' growth and development. As a Customer Service Representative, you'll have opportunities to:

• Develop your skills and knowledge through training programs and workshops.
• Take on new challenges and responsibilities as you grow in your role.
• Collaborate with cross-functional teams to improve processes and services.
• Participate in our mentorship program to support your career advancement.

• *Work Environment and Company Culture**

careerzynith is committed to providing a safe and inclusive work environment. Our teams are comprised of collaborators, leaders, and innovators who share a passion for delivering exceptional healthcare experiences. We value diversity, equity, and inclusion and strive to create a culture where all team members feel valued and empowered to bring their whole selves to work.

• *Compensation, Perks, and Benefits**

careerzynith offers a comprehensive benefits package to meet your financial, health, and work/life balance goals. This includes:

• Comprehensive benefits package.
• On-demand pay program powered by Payactiv.
• Discounts directory with deals on restaurants, phone plans, travel, and more!
• Optional identity theft protection, home and auto insurance, and pet insurance.
• Traditional and Roth retirement options with service contribution and match savings.

• *How to Apply**

If you're passionate about delivering exceptional customer service and have a knack for resolving complex issues, we want to hear from you! Apply now to join our team at careerzynith and be part of a collaborative environment where you can bring your whole self to work.

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