**Join careerzynith, a leading healthcare organization, in shaping the future of patient care and customer service. As a Customer Service Representative, you will be at the forefront of delivering exceptional service to our members, navigating complex healthcare systems, and fostering a culture of high performance.**
**About careerzynith**
careerzynith is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. Our organization includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. careerzynith operates Michigan's largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
**Customer Service Representative Role**
We are seeking an experienced Customer Service Representative to join our team in Michigan, working remotely. As a key member of our organization, you will be responsible for daily member telephone calls, directing members to the proper services needed, educating members, problem-solving, and creating linkages to the Medical Management Department for authorization of services. You may also be responsible for assisting providers with eligibility, benefit, and resolution of claims issues.
**Key Responsibilities:**
* Respond to member inquiries via telephone, email, chat, and/or face-to-face
* Direct members to the proper services needed, including medical management and provider support
* Educate members on healthcare services, benefits, and policies
* Problem-solve and resolve member issues in a timely and professional manner
* Collaborate with the Medical Management Department for authorization of services
* Assist providers with eligibility, benefit, and resolution of claims issues
**Essential Qualifications:**
* High School Diploma or equivalent certification
* One (1) year experience in a customer service related role with direct contact with customers via telephone, email, chat, and/or face-to-face
**Preferred Qualifications:**
* One (1) year experience in a physician healthcare office environment or high-volume call center
* One (1) year experience and knowledge of HMO, PPO, TPA, PHO, and Managed Care functions
**Additional Information:**
* Schedule: Full-time
* Requisition ID: 24005967
* Daily Work Times: 8-8
* Hours Per Pay Period: 40
* On Call: No
* Weekends: No
**careerzynith Culture and Benefits:**
* careerzynith is an Equal Opportunity Employer, committed to fostering a culture of diversity, equity, and inclusion
* We offer a competitive salary and benefits package, including medical, dental, and vision insurance
* Opportunities for career growth and professional development
* Collaborative and dynamic work environment
* Recognition and rewards for outstanding performance
**How to Apply:**
If you are a motivated and customer-focused individual with a passion for delivering exceptional service, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and join careerzynith in shaping the future of patient care and customer service.
**Your Future Starts Here:**
Don't miss out on this exciting role. We are looking forward to hearing from you. Apply now and take the first step towards a rewarding career with careerzynith.