Experienced Customer Service Representative – Remote – careerzynith United States Work at Home

Remote, USA Full-time Posted 2026-05-31
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Are you a people person with a passion for delivering exceptional customer experiences? Do you thrive in fast-paced environments where no two calls are ever the same? If so, we want you to join our careerzynith team as a Customer Service Representative! As a key member of our non-clinical team, you'll play a vital role in helping manage the benefit needs of inbound callers from start to finish, while delivering outstanding patient-provider care.

  • *About careerzynith**

At careerzynith, we're committed to making a positive impact on healthcare and the lives of our employees. As a subsidiary of The Cigna Group, we're part of a global organization that's dedicated to improving health and increasing vitality. Our team is passionate about innovation, and we're always looking for talented individuals who share our vision.

  • *Responsibilities**

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

  • Accepting a daily average of 100-125 inbound calls from Health Plan clients, providers, and imaging centers seeking pre-authorization
  • Properly handling and verifying patient records under HIPPA and PHI, and securing confidentiality for each call
  • Accepting multiple back-to-back calls utilizing various applications on multiple screens, and properly entering all patient, provider, and imaging center data
  • Following the complete formal script pathway with each caller, identifying and transferring any calls that cannot be resolved via the formal script to the appropriate person or department
  • Remaining client-focused at all times, with the ability to independently resolve customer inquiries and complaints with one-call resolution
  • Attending 100% of 8-week training, which will include live-call participation training
  • Meeting or exceeding all performance metrics through accurate call handling and high-quality calls
  • *Qualifications**

To be successful in this role, you'll need:

  • A High School diploma or equivalent
  • Prior customer service background (strongly preferred)
  • Intermediate proficiency in Microsoft Outlook; strong written, organizational, and verbal communication skills
  • Excellent customer focus orientation with the ability to diffuse difficult callers constructively
  • Takes accountability and ownership to efficiently solve problems
  • Engaged, coachable, upbeat attitude, with a willingness to be a positive role model for your peers
  • Team player who exchanges personal knowledge, offers, and accepts support
  • Flexible, open-minded, and able to adapt positively to business changes or needs
  • Self-confident and empowered to use good judgment to do what is right and keep all promises
  • *Skills and Competencies**

To excel in this role, you'll need:

  • Excellent communication and interpersonal skills
  • Ability to work in a fast-paced environment with multiple priorities
  • Strong problem-solving and analytical skills
  • Ability to work independently and as part of a team
  • Proficiency in Microsoft Office, particularly Outlook
  • Ability to learn and adapt to new systems and processes quickly
  • Strong customer service skills, with a focus on delivering exceptional experiences
  • *Career Growth Opportunities and Learning Benefits**

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

  • Ongoing training and development opportunities to enhance your skills and knowledge
  • Opportunities for career advancement and professional growth
  • A supportive and collaborative work environment that encourages learning and innovation
  • Access to industry-leading tools and technologies to help you succeed
  • *Work Environment and Company Culture**

As a remote employee, you'll have the flexibility to work from the comfort of your own home. Our work environment is designed to be collaborative, supportive, and inclusive, with a focus on delivering exceptional customer experiences. We're proud of our company culture, which values:

  • Diversity, equity, and inclusion
  • Innovation and creativity
  • Collaboration and teamwork
  • Customer focus and satisfaction
  • Employee well-being and development
  • *Compensation, Perks, and Benefits**

We offer a competitive compensation package, including:

  • An hourly rate of $17.75 - $19 USD, depending on relevant factors, including experience and geographic location
  • Opportunities for annual bonuses
  • Comprehensive benefits package, including medical, vision, dental, and well-being and behavioral health programs
  • 401(k) with company match
  • Company-paid life insurance
  • Tuition reimbursement
  • Minimum of 18 days of paid time off per year and paid holidays
  • *How to Apply**

If you're passionate about delivering exceptional customer experiences and want to join a dynamic and innovative team, apply now! Please note that we're an equal opportunity employer and welcome applications from diverse candidates.

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  • *Note:** careerzynith is an equal opportunity employer and welcomes applications from diverse candidates. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

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