Are you a customer service enthusiast with a passion for delivering exceptional experiences? Do you thrive in a dynamic work environment where no two days are the same? Look no further! careerzynith is seeking an experienced Customer Service Representative to join our team in the heart of Remote. As a key member of our customer service team, you will play a vital role in providing top-notch support to our customers, ensuring their satisfaction and loyalty to our brand.

About careerzynith

careerzynith is a leading organization that focuses on providing a world-class environment, selection process, benefits, and training to ensure that we have agents of the highest caliber. We understand that a quality agent makes all the difference for customers and that a great customer experience influences how they feel about the brand they have chosen. Headquartered in Washington, careerzynith has delivery locations across 26 sites in seven countries and maintains a network of over 30,000 employees.

The Role

As a Customer Service Representative at careerzynith, you will work directly with customers to answer general inquiries, address concerns, and assist with requests about products and services across multiple lines of business. You will project a professional company image and provide superior customer service while working with customers through any of the customer contact channels. Your day-to-day will involve:

• Resolving coordination of benefits inquires by analyzing patient activity (including enrollment, third party liability, claims attachments)
• Having a comprehensive understanding of insurance coverage and being able to interpret and communicate accurate information
• Thoroughly and completely documenting all customer interactions
• Educating customers and dental professionals on eligibility, benefits, claims payment, and authorizations
• Educating on the usage and benefits of self-service tools
• Assisting members on gaining access to care by locating a network dentist or assignment to a primary care dentist
• Directing inquires to necessary departments or individuals when the resolution of the inquiry is beyond the span of control for this role
• Responding to customer inquiries in a courteous and professional manner
• Researching and consistently providing accurate information to resolve all member and provider inquiries through verbal and written communications through all channels including phone, email, web portal, and chat interactions
• Responding to and resolving internal and external complex customer inquiries
• Resolving claim payment inquiries by researching and analyzing patient activity and determining appropriate action to be taken
• Taking ownership of the resolution and setting expectation for follow up
• Ensuring resubmissions, stop payments, and voids are appropriately handled
• Meeting or exceeding individual, department, and client specific goals
• Understanding and adhering to all client administrative and contractual policies and procedures
• Suggesting ways to improve the service delivery processes contributing to the success of the organization
• Other duties as assigned

Qualifications

To be successful in this role, you will need:

• High School Diploma or Equivalent
• 2 years experience in a high volume customer service environment
• Experience in healthcare or related industry experience preferred
• Ability to multi-task using multiple applications simultaneously
• Ability to set-up computer equipment and troubleshoot issues with minimal assistance
• Professional verbal and written communication skills
• Ability to operate a computer and knowledge of Microsoft Office applications
• Strong organizational skills and attention to detail
• Ability to work independently and with a team
• Cooperative, professional and effective interaction skills
• Critical thinking and problem solving skills
• Ability to tolerate repetitive work without compromising accuracy and service levels
• Attend additional training as requested / deemed necessary

Preferred Qualifications

* Medical / Dental terminology knowledge experience

• Medicare / Medicaid knowledge
• Claims / Billing and coding experience

careerzynith Benefits

* Medical, Dental, and Vision insurance

• 401(k) Retirement Savings Plan
• Paid Time Off
• Paid T-Mobile cell service
• $500.00 Employee referral program
• Employee PerkSpot (discounts on retail, hotel, food, restaurants, car rental and much more!!)

Why Join careerzynith?

* Low-stress role with great rewards

• Relaxed and supportive work environment
• Opportunities for career growth and professional development
• Competitive salary and benefits package
• Recognition and rewards for outstanding performance
• Collaborative and dynamic team environment

Ready to Apply?

If you're a customer service enthusiast with a passion for delivering exceptional experiences, we want to hear from you! Apply now to join our team at careerzynith and take the first step towards a rewarding and challenging career. Apply for this job