Rewritten Job Title:
Join careerzynith: Empowering New Yorkers through Compassionate Care
At careerzynith, we're dedicated to making a positive impact on the lives of New Yorkers. As a Customer Service Representative I, you'll play a vital role in delivering exceptional service to our members and providers. If you're passionate about healthcare, have a collaborative spirit, and thrive in a fast-paced environment, we invite you to join our team.
About careerzynith
careerzynith is a leading healthcare organization committed to providing high-quality services to residents of the Bronx, Brooklyn, Manhattan, Queens, and Staten Island. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, our network includes over 27,000 primary care providers, specialists, and participating clinics. For over 30 years, we've been building strong relationships with our members and providers to enable New Yorkers to live their healthiest lives.
Position Overview
As a Customer Service Representative I, you'll be responsible for providing comprehensive, high-quality service to all customers. Your primary responsibilities will include:
- Answering customer calls and proactively working to resolve member and provider questions and concerns
- Responding to and documenting all customer encounters, intaking complaints, and conducting outreach and retention efforts
- Assisting with Primary Care Provider (PCP) selections and handling all provider inquiries related to eligibility, claims, and authorizations
- Verifying and updating member demographic information, processing requests for member materials, and handling enrollment inquiries and disenrollment requests
- Performing outreach related to New Member Orientation and PCP term/reassign projects, and processing premium payments
- Identifying and escalating complex issues, providing follow-up/closure, and assisting with special projects as assigned by the Director of Customer Service
Key Responsibilities
As a Customer Service Representative I, you'll strive for first call resolution, working to resolve member and provider issues as the point of contact. You'll utilize dual monitors and leverage computer-based resources to find answers to customer questions, research and respond accurately to all customer inquiries related to eligibility, benefits/services, claims, and authorizations. You'll also classify and record all customer encounters clearly and concisely, identify and escalate complex issues, and provide follow-up/closure.
Essential Qualifications
To succeed in this role, you'll need:
- A high school graduation or evidence of having satisfactory passed a High School Equivalency Program
- Minimum 1 year experience in a call center environment, or a satisfactory equivalent combination of education, training, and experience
- Managed care experience preferred
- Proven experience in providing excellent service to customers in various healthcare-related areas, such as insurance, doctor's offices, or medical clinics
- Poise under pressure when dealing with difficult situations and potentially upset customers
- Ability to work in a fast-paced environment while maintaining a high attention to detail
Professional Competencies
You'll need to demonstrate:
- Integrity and Trust
- Customer Focus
- Functional/Technical Skills
- Written/Oral Communication
Career Growth Opportunities and Learning Benefits
At careerzynith, we're committed to helping you grow and develop your skills. As a Customer Service Representative I, you'll have opportunities to:
- Develop your knowledge of healthcare services and managed care
- Improve your communication and problem-solving skills
- Work with a diverse team of professionals dedicated to delivering exceptional service
- Participate in ongoing training and development programs to enhance your skills and knowledge
Work Environment and Company Culture
As a full remote employee, you'll have the flexibility to work from the comfort of your own home. Our company culture is built on the values of compassion, empathy, and excellence. We're committed to creating a positive and inclusive work environment that supports the well-being of our employees and the communities we serve.
Compensation, Perks, and Benefits
We offer a competitive salary and benefits package, including:
- A comprehensive health insurance plan
- A 401(k) retirement savings plan with employer matching
- Generous paid time off and holidays
- Opportunities for professional development and career advancement
How to Apply
If you're passionate about healthcare and committed to delivering exceptional service, we invite you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, through our website. We can't wait to hear from you!