Experienced Bilingual (Spanish) Customer Service Representative – Remote Opportunity

About careerzynith:

careerzynith is a dynamic and innovative company that is revolutionizing the way healthcare is delivered. As a data-powered, performance-driven healthcare company, we are dedicated to operational excellence and making great healthcare affordable for all. Our goal is to improve the health of patients, restore the fulfillment of practicing medicine for providers, and build stronger connections with patients and providers. With a centralized Managed Service Organization and remotely-embedded Healthguides, we empower our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room.

Job Description:

We are seeking an experienced Bilingual (Spanish) Customer Service Representative to join our team. As a key member of our customer service team, you will be responsible for providing exceptional customer service to our clients and members. You will be the face of careerzynith, and your professionalism, empathy, and problem-solving skills will make a significant impact on our customers' experiences.

Key Responsibilities:

* Answering phone calls in a timely manner and providing accurate and timely handling of client and member calls with total follow through

• Providing excellent customer service and being a skilled problem solver
• Answering client and provider questions, including but not limited to claims payment, status, and coverage information
• Interpreting client health plan protocol and providing guidance to clients and providers
• Backup to the claims processing area by assisting with reports and workflow queues as assigned
• Checking tracer documentation and maintaining accurate and complete call documentation
• Maintaining a high level of professionalism and being courteous and respectful to clients and providers
• Returning incoming calls and responding to client and provider inquiries in a timely manner
• Other duties as assigned by management

Qualifications:

* Bilingual (English/Spanish) required

• Minimum of 2 years experience in a high-volume healthcare call center required
• Knowledge of healthcare claims review or processing required
• Health Care/Health insurance background required
• Experience with BCBS HMOI or other insurance plans a plus
• Use of multiple systems, including Teams and Excel, Jira is a plus
• Excellent verbal and written communication skills
• Must be available for an 8-hour shift between 8am to 6pm Central time

Preferred Qualifications:

* HMO Managed care Medicare Advantage experience

• Experience working with electronic health records and other healthcare software systems

What We Offer:

* Competitive salary range of $19.00 to $20.00 per hour, paid bi-weekly

• Comprehensive benefits package, including:

+ Medical, Dental, and Vision plans + 401(k) plan with 3% employer match + Life and Disability insurance + Voluntary Life options + Employee Assistance Program (EAP) + Flexible Time Off tailored to meet your needs and the needs of the business + Paid parental leave + Opportunities for professional growth and development

Work Environment and Culture:

* careerzynith is a fully remote company, providing you with the flexibility to work from home and spend less time commuting

• Our company culture values diversity, inclusion, and belonging, and we are committed to creating a workplace that is welcoming and inclusive for all employees
• We are a dynamic and innovative company that is passionate about making a difference in the lives of our customers and employees

Equal Opportunity Employer:

careerzynith is an equal opportunity employer and is committed to making employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.

Protection of Patient and Company Data:

This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under careerzynith's custodianship as well as careerzynith Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.

Are You the One We're Looking For?

If you believe you have what it takes to join our team and provide exceptional customer service to our clients and members, submit your application without delay. We are keen to hear from talented candidates like you. Apply for this job