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About careerzynith – A Purpose‑Driven Leader in Health & Wellness
At careerzynith, we believe that health is more than a set of numbers – it’s a personal journey that deserves compassion, convenience, and care. Our mission, “Bringing our heart to every moment of your health,” guides everything we do, from the way we design digital tools to the way we answer a phone call. As a rapidly growing health‑services organization, careerzynith blends cutting‑edge technology with a human‑centric approach, ensuring that every member, provider, and employee feels valued and supported.
Our culture is built on the Heart At Work Behaviors that empower each associate to innovate, collaborate, and deliver solutions that make health care more personal, affordable, and accessible. Whether you work from a modern office in Charleston, WV, or from the comfort of your home, you’ll be part of a team that is reshaping the future of health services, one conversation at a time.
Position Overview – Member Service Representative (Remote/Hybrid)
The Member Service Representative role at careerzynith is a front‑line position that connects directly with our Medicaid members and health‑care providers. You will be the trusted voice that answers inbound calls, resolves eligibility questions, processes provider updates, and assists with ID‑card requests. Success in this role requires a blend of empathy, strong communication skills, and the ability to thrive in a fast‑paced, technology‑enabled environment.
Location Requirement: Candidates must reside within a 50‑mile radius of Charleston, WV, to accommodate occasional office visits when technical issues arise.
Key Responsibilities
- Answer inbound member and provider calls promptly, delivering accurate information on benefits, eligibility, prior authorizations, and supplemental programs.
- Navigate careerzynith’s member portal and internal systems to verify coverage, update provider details, and issue electronic or mailed ID cards.
- Maintain a high level of professionalism and empathy, ensuring each caller feels heard and supported.
- Adhere to strict data‑security protocols: use a wired Ethernet connection for all work‑from‑home activities; Wi‑Fi connections are not permitted.
- Complete a comprehensive six‑week training program (8:30 AM – 5:00 PM EST, Monday‑Friday) that covers careerzynith policies, call‑handling techniques, and compliance standards.
- Transition to a production schedule (8:30 AM – 5:00 PM EST, Monday‑Friday) after training, meeting daily call‑volume targets and quality metrics.
- Document interactions accurately in the CRM system, ensuring all follow‑up actions are captured and escalated when necessary.
- Collaborate with cross‑functional teams—including underwriting, claims, and IT—to resolve complex member issues.
- Participate in ongoing coaching sessions, performance reviews, and continuous‑improvement initiatives.
Required Qualifications
- High school diploma or equivalent; additional education or certifications are a plus.
- Reliable high‑speed internet with a dedicated Ethernet connection; ability to set up and maintain a secure home office.
- Strong verbal and written communication skills, with the ability to convey complex information clearly and courteously.
- Self‑motivation and the discipline to work independently from home while meeting attendance, performance, and quality standards.
- Willingness to travel to the Charleston office when technical issues prevent remote work.
- Demonstrated ability to handle high call volumes while maintaining composure and empathy.
Preferred Qualifications
- Previous experience in a remote call‑center environment, especially within health‑care or insurance sectors.
- Familiarity with Medicaid and Medicare programs, including eligibility rules and provider networks.
- Experience using customer‑relationship management (CRM) platforms and electronic health record (EHR) systems.
- Certification in customer service excellence (e.g., CCSP, HDI Customer Service Representative).
Education & Experience
A high school diploma or GED is the minimum educational requirement. Candidates who have completed coursework in health administration, business communication, or related fields will find themselves well‑prepared for the nuances of member services at careerzynith.
Compensation & Benefits Overview
careerzynith offers a competitive hourly wage ranging from $17.00 to $25.15, commensurate with experience, education, and geographic location. In addition to base pay, you will have access to a comprehensive benefits package that includes:
- Medical, dental, and vision coverage with multiple plan options.
- Eligibility for a 401(k) retirement plan with company matching contributions.
- Employee Stock Purchase Plan (ESPP) allowing you to purchase careerzynith shares at a discounted rate.
- Fully‑paid term life insurance, short‑term and long‑term disability coverage.
- Generous paid time off (PTO), vacation accrual, and paid holidays aligned with state regulations.
- Well‑being programs such as mental‑health resources, fitness discounts, and wellness challenges.
- Education assistance, tuition reimbursement, and free development courses to support continuous learning.
- Employee discount at careerzynith retail locations and partner‑brand savings.
All eligible employees are required to be fully vaccinated against COVID‑19, with accommodations available in accordance with applicable law.
Work Environment & Culture at careerzynith
Our members and providers rely on the professionalism and compassion of our service teams. At careerzynith, you will find a supportive environment that values:
- Collaboration: Regular virtual huddles, mentorship programs, and cross‑departmental projects foster a sense of community.
- Innovation: Employees are encouraged to share ideas that improve processes, technology, and member experiences.
- Flexibility: While the role is primarily remote, we provide the equipment, training, and technical support needed for a seamless home‑office setup.
- Diversity & Inclusion: careerzynith is committed to building a workforce that reflects the communities we serve, offering equal opportunity and accommodations for individuals with disabilities.
- Recognition: Performance awards, peer‑to‑peer recognition, and milestone celebrations acknowledge the hard work of our associates.
Career Growth & Development Opportunities
careerzynith invests heavily in the professional development of its employees. As a Member Service Representative, you will have pathways to advance into roles such as:
- Senior Member Services Analyst – handling escalated cases and providing mentorship.
- Team Lead – supervising a group of representatives, managing performance metrics, and driving quality initiatives.
- Operations Specialist – focusing on process improvement, workflow optimization, and technology integration.
- Training Coordinator – designing and delivering onboarding and continuous‑learning programs for new hires.
Our internal learning portal offers hundreds of courses on topics ranging from advanced communication techniques to data analytics, ensuring you can build the skill set needed for future advancement.
Application Process & Next Steps
If you are passionate about delivering exceptional service, thrive in a remote‑first environment, and want to make a tangible impact on the health and well‑being of members and providers, we want to hear from you. To apply, click the “Apply Now” button below, submit your resume, and complete the brief online questionnaire. Our recruiting team will review your application, schedule a virtual interview, and guide you through the onboarding journey.
Join careerzynith – Make a Difference Every Call
At careerzynith, every conversation is an opportunity to improve a life. By joining our Member Services team, you become part of a purpose‑driven organization that values heart, integrity, and excellence. Take the next step in your career and help us bring our heart to every moment of health.
Apply Now – Become a Member Service Representative at careerzynith
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