Remote Healthcare Customer Service Representative – Patient Outreach, HEDIS & QARR Compliance, and Quality Assurance Support (Full‑Time)

About careerzynith

careerzynith is a leading provider of innovative health‑care solutions, dedicated to improving patient outcomes and bridging care gaps across the United States. With a mission to empower members, providers, and payers through data‑driven insights, careerzynith combines cutting‑edge technology with compassionate service to create a healthier future for all. Our remote workforce is a core pillar of this mission, enabling us to reach patients wherever they live while maintaining the highest standards of professionalism, compliance, and empathy.

Position Summary

We are seeking a highly motivated, detail‑oriented Remote Healthcare Customer Service Representative to join the careerzynith team for a three‑month contract (with strong potential for extension or conversion to a permanent role). In this role, you will be the voice of careerzynith, engaging directly with members to close care gaps, support preventive health initiatives, and ensure compliance with HEDIS (Health Effectiveness Data and Information Sets) and QARR (Quality Assurance Reporting Requirements) standards. This is a full‑time, remote position that requires you to work Eastern Standard Time (EST) or Central Standard Time (CST) hours (8 am – 5 pm).

Key Responsibilities

• Provide courteous, accurate, and empathetic phone support to members, addressing inquiries, scheduling appointments, and delivering health‑related information.
• Conduct outbound outreach calls to educate members about preventive services, health risk assessments (HRA), and other wellness programs.
• Utilize HEDIS and QARR guidelines to identify and close care gaps, documenting all interactions in careerzynith’s secure CRM system.
• Collaborate with the Preventative Service Outreach (PSO) team to prioritize high‑impact outreach initiatives.
• Maintain strict adherence to HIPAA and careerzynith’s security protocols, ensuring all communications occur over a secure home Wi‑Fi connection (no public Wi‑Fi).
• Participate actively in virtual team meetings, training sessions, and performance reviews; be camera‑friendly and ready to engage with supervisors and peers.
• Adapt quickly to shifting priorities, handling multiple projects simultaneously while meeting established deadlines.
• Document call outcomes, update member records, and generate reports that support quality‑assurance and compliance tracking.

Essential Qualifications

• Minimum of 2 years experience in a healthcare setting (doctor’s office, hospital, or similar environment).
• High school diploma or equivalent; additional certifications in medical administration or health‑care support are a plus.
• Demonstrated leadership capabilities, including problem‑solving, decision‑making, and the ability to guide peers through complex scenarios.
• Strong organizational skills with the ability to manage multiple tasks and maintain accurate records.
• Exceptional phone etiquette and a proven track record of delivering high‑quality customer service.
• Familiarity with medical terminology and basic understanding of HEDIS and QARR processes.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and comfort navigating web‑based CRM platforms.
• Reliable high‑speed internet connection, a dedicated home office space, and a secure Wi‑Fi network.

Preferred Qualifications & Skills

• Experience with health‑risk assessments (HRA) and preventive service outreach programs.
• Certification in Certified Medical Assistant (CMA), Certified Patient Service Representative (CPSR), or similar credentials.
• Knowledge of quality‑assurance reporting and data analytics in a health‑care context.
• Ability to work independently while maintaining strong communication with remote supervisors.
• Demonstrated commitment to continuous learning and professional development.

Core Competencies for Success

• Active Listening: Fully engage with members, understand their concerns, and respond with empathy and clarity.
• Adaptability: Thrive in a fast‑changing environment, pivoting between tasks without sacrificing quality.
• Attention to Detail: Accurately capture member information, follow compliance protocols, and produce error‑free documentation.
• Team Collaboration: Contribute to a virtual team culture, share insights, and support colleagues in achieving collective goals.
• Technical Proficiency: Navigate careerzynith’s digital tools confidently, troubleshoot minor technical issues, and maintain data security.

Compensation & Benefits

careerzynith offers a competitive hourly rate ranging from $18.00 to $20.50, commensurate with experience and performance. While this is a contract position, successful candidates may be considered for extension or conversion to a permanent role based on business needs and individual performance.

Additional benefits include:

• Flexible remote work arrangement with a supportive virtual team environment.
• Paid training and onboarding to ensure you have the tools and knowledge needed to excel.
• Opportunities for professional growth within careerzynith’s expanding health‑care operations.
• Access to a suite of wellness resources, including mental‑health support and virtual fitness programs.
• Performance‑based incentives and recognition programs.

Career Development & Learning Opportunities

At careerzynith, we invest in our people. As a Remote Healthcare Customer Service Representative, you will have access to:

• Ongoing education modules covering HEDIS, QARR, and emerging health‑care compliance standards.
• Mentorship from senior quality‑assurance leaders who will guide your professional trajectory.
• Cross‑functional exposure to data analytics, member engagement strategy, and health‑policy implementation.
• Potential pathways to advanced roles such as Quality Assurance Analyst, Member Services Supervisor, or Health‑Program Coordinator.

Work Environment & Culture

careerzynith fosters a culture of inclusion, respect, and continuous improvement. Our remote workforce enjoys:

• A collaborative virtual community where ideas are shared openly and contributions are celebrated.
• Regular virtual “coffee chats,” team‑building activities, and recognition events to keep morale high.
• A commitment to work‑life balance, with clear expectations around work hours (8 am – 5 pm EST/CST) and generous time‑off policies for contract employees.
• Strong emphasis on ethical conduct, data privacy, and compliance—all reinforced through regular training and transparent communication.

Performance Expectations

Success in this role will be measured by your ability to:

• Consistently meet or exceed outbound call targets while maintaining high satisfaction scores.
• Accurately document interactions and close care gaps in alignment with HEDIS and QARR standards.
• Demonstrate proactive learning, applying new knowledge quickly and sharing insights with teammates.
• Exhibit reliable participation in all scheduled training, meetings, and performance reviews.
• Adapt to evolving project demands, delivering quality results on time without extensive hand‑holding.

Application Process

If you are passionate about improving health outcomes, thrive in a remote setting, and possess the qualifications outlined above, we invite you to join careerzynith’s mission‑driven team. To apply, click the link below, submit your resume, and tell us why you are the ideal candidate for this role.

Apply Job!

Join careerzynith Today

Take the next step in your health‑care career by becoming a vital part of careerzynith’s remote customer service force. Your expertise will directly impact members’ lives, help close critical care gaps, and support the broader goal of a healthier nation. We look forward to welcoming a dedicated professional who shares our commitment to excellence, compassion, and continuous improvement.