Immediate Hiring: Customer Service Representative - Medical Claims at careerzynith

• *Unlock a Rewarding Career in Medical Claims at careerzynith**

Are you passionate about delivering exceptional customer service and making a difference in people's lives? Do you have a strong background in medical claims and a knack for resolving complex issues? If so, we invite you to join careerzynith as a Customer Service Representative - Medical Claims. As a key member of our team, you will play a vital role in processing medical claims, communicating with providers, and ensuring seamless customer experiences.

• *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 full potential by delivering exceptional service, expertise, and technology. With a strong commitment to quality, integrity, and customer satisfaction, we strive to make a positive impact on the lives of our customers and the communities we serve.

• *Job Summary**

As a Customer Service Representative - Medical Claims at careerzynith, you will be responsible for processing medical claims, communicating with providers, and resolving issues in a timely and professional manner. You will serve as the primary liaison with callers, following client specifications to assist with questions and solve problems related to the claims process and servicing processes. Your expertise will be recognized as a general technical expert in the health benefits program, and you will be responsible for expediting the claims process and providing detailed claim notes on all calls.

• *Key Responsibilities**

• Acts as primary liaison with callers, following client specifications to assist with questions and solve problems related to the claims process and servicing processes.
• Educates and informs customers via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.
• Educates members and providers on client requirements and benefit plans, documenting all required details of the call in a concise professional manner.
• Enters verbal and written application information that meets both internal and external customer requirements accurately into the claims management system.
• Assigns new claims to the appropriate claims handler.
• Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.
• Performs other duties as assigned, supporting the organization's quality program(s).

• *Essential Qualifications**

• 2+ years of experience in medical claims or customer service, with a strong background in resolving complex issues.
• US Citizenship required.
• Ability to work a set shift, with options for 8:00am - 4:30pm, 8:30am - 5:00pm, or 11:30am - 8:00pm.
• 90-day duration, with the option for extension.
• Remote work arrangement, with a minimum IT requirement of a reliable computer, internet connection, and phone.

• *Preferred Qualifications**

• Experience with claims management systems and software.
• Strong knowledge of medical terminology and healthcare regulations.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced environment and prioritize multiple tasks.

• *Skills and Competencies**

• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced environment and prioritize multiple tasks.
• Strong attention to detail and accuracy.
• Ability to maintain confidentiality and handle sensitive information.

• *Career Growth Opportunities and Learning Benefits**

At careerzynith, we believe in investing in our employees' growth and development. As a Customer Service Representative - Medical Claims, you will have opportunities to:

• Develop your skills and expertise in medical claims and customer service.
• Participate in ongoing training and professional development programs.
• Collaborate with a talented team of professionals who share your passion for delivering exceptional service.
• Contribute to the success of our organization and make a positive impact on the lives of our customers.

• *Work Environment and Company Culture**

careerzynith is committed to creating a work environment that is inclusive, supportive, and empowering. As a remote employee, you will have the flexibility to work from the comfort of your own home, while still being part of a dynamic and collaborative team. Our company culture values:

• Diversity, equity, and inclusion.
• Continuous learning and professional development.
• Collaboration and teamwork.
• Innovation and creativity.
• Customer satisfaction and loyalty.

• *Compensation, Perks, and Benefits**

careerzynith offers a comprehensive benefits package, including:

• Competitive salary.
• Minimum Essential Coverage (MEC) plan, encompassing Medical, Vision, Dental, 401K, and EAP services.
• Opportunities for career growth and professional development.
• Flexible work arrangements, including remote work options.
• Recognition and rewards for outstanding performance.

• *How to Apply**

If you are a motivated and customer-focused individual with a passion for medical claims and customer service, we invite you to apply for the Customer Service Representative - Medical Claims position at careerzynith. Please click the link below to submit your application:

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• *Equal Employment Opportunity**

careerzynith is an equal employment opportunity employer and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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