← all jobs

Experienced Group Health Customer Service Representative – Remote Opportunity at careerzynith

Work from home Full-time role Hiring

Job Title:

Experienced Group Health Customer Service Representative – Remote Opportunity at careerzynith

Job Summary:

careerzynith is a leading provider of innovative solutions in the healthcare industry, and we're seeking an experienced Group Health Customer Service Representative to join our team. As a key member of our customer service team, you will be responsible for providing exceptional service to our clients, ensuring timely and accurate processing of claims, and maintaining a high level of customer satisfaction. If you're a motivated and detail-oriented individual with a passion for delivering outstanding customer experiences, we encourage you to apply for this exciting opportunity.

About careerzynith:

careerzynith is a fast-paced, Inc. 500 company with a high-performance culture, dedicated to providing customized Independent Medical Exam and Peer Review programs to our clients. We process over 200,000 insurance claims annually for leading national and regional Workers' Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. Our team is comprised of insightful, astute, and forward-thinking professionals who are passionate about delivering exceptional results.

Key Responsibilities:

As a Group Health Customer Service Representative at careerzynith, you will be responsible for:

  • Handling the receipt of new cases, including intake, review, and verification of information and requests
  • Drafting cases by entering information into our system, AccessDS
  • Working with clients to obtain missing information and resolving any issues related to processing claims
  • Sorting, organizing, and creating medical document listings as required by clients
  • Monitoring, processing, and tracking cases to ensure timely completion and meeting deadlines
  • Assigning and scheduling new cases to physicians for review, taking into account location, reviewer availability, jurisdictional requirements, and client specifications
  • Ensuring that assigned physicians have no conflict of interest with the case assignments
  • Providing regular updates to clients on the status of their cases
  • Communicating with clients and physicians/physicians' offices via phone and email to ensure proper documentation and information is provided
  • Maintaining accurate and up-to-date records of client interactions and case progress

Special Skills and Attributes Required:

This role involves a significant amount of communication with clients and physicians/physicians' offices via phone and email, as well as constant computer work. Therefore, candidates must possess the following skills and experience:

  • A minimum of 1 year of experience working in an administrative or clerical role in a business office environment
  • Experience working in a healthcare (medical office, insurance claims, etc.) environment is preferred
  • Excellent computer skills, including proficiency in Apple Operating System, Google Chrome search engine, and Gmail
  • Stellar written and verbal communication skills, including a high comfort level in speaking with clients, claimants, and/or physicians
  • Ability to maintain focus and attention to detail in a fast-paced environment
  • Ability to manage multiple tasks and quickly changing priorities
  • Excellent organizational skills

Required Education and Experience:

An Associate's Degree is preferred.

Work from Home Technical Requirements:

* Supply and support their own internet services

  • Maintaining an uninterrupted internet connection is a requirement of all work-from-home positions

Benefits:

careerzynith offers a competitive salary, generous Paid Time Off, an excellent benefits package, and a strong training program to ensure a smooth transition into the role. Apple equipment and media stipend are provided for remote work space.

Why Join careerzynith?

* Work in a fast-paced, dynamic environment with a high-performance culture

  • Contribute to the success of a leading provider of innovative solutions in the healthcare industry
  • Develop your skills and expertise in a supportive and collaborative team
  • Enjoy a competitive salary and benefits package
  • Take advantage of opportunities for career growth and advancement

How to Apply:

If you're a motivated and detail-oriented individual with a passion for delivering outstanding customer experiences, we encourage you to apply for this exciting opportunity. Please submit your application without delay, and we look forward to hearing from talented candidates like you. Apply for this job

More open positions

Head of Customer Evidence – Strategic Storyteller and Team Leader

Work from home Full-time role

Experienced Healthcare Customer Advisor - Special Needs Advocate: Delivering Compassionate Support and Exceptional Service

Work from home Full-time role

Experienced Healthcare Customer Service Representative – Remote Opportunity with careerzynith

Work from home Full-time role

Experienced Healthcare Customer Service Representative - Remote in Texas

Work from home Full-time role

Experienced Healthcare Customer Service Representative - Remote Opportunity at careerzynith

Work from home Full-time role

SIU Investigator II - S. CA

Work from home Full-time role

Staff Technical Product Manager, Ads ML Platform

Work from home Full-time role

Remote Data Entry Associate – Entry‑Level Work‑From‑Home Position with careerzynith

Work from home Full-time role

Triage Medical Assistant (MA) / Registered Nurse (RN) - Virtual Care - Pediatrics

Work from home Full-time role

AI Trainer - Graphical Abstract - Physics (Remote - Washington)

Work from home Full-time role

Hardship Review Board Member (Non Government)

Work from home Full-time role

Customer Success Manager, Public Sector - (Remote - US)

Work from home Full-time role

Manager, Creative Operations

Work from home Full-time role

Remote Data Entry & Market Research Participant – Flexible Paid Focus Group Opportunities with careerzynith

Work from home Full-time role

Underwriting Specialist – Entertainment (Hybrid or Remote)

Work from home Full-time role

[Remote] Remote Client Support Specialist

Work from home Full-time role

AutoCAD Drafter / CAD Technician - Contract to Hire

Work from home Full-time role

Scientific/Medical Writer

Work from home Full-time role

Specialist, People Activation Events and Special Projects

Work from home Full-time role

Insurance Producer / Client Advisor

Work from home Full-time role

Chat Support Agent (Remote) - Entry Level, No Degree Required - 15 - 18 per Hour

Work from home Full-time role