```html About careerzynith – Transforming Healthcare from Anywhere in the U.S. At careerzynith , we are on a mission to simplify the health‑care experience, create healthier communities, and eliminate barriers to quality care. Our vision is to build a health‑care system that is more responsive, affordable, and equitable for every member of society. As a remote‑first organization, we empower our employees to work from any location within the United States while delivering the highest level of service to millions of members and providers. Joining careerzynith means becoming part of a purpose‑driven team that values compassion, innovation, and continuous learning. Whether you are just starting your career or looking to deepen your expertise, we provide the training, tools, and supportive culture you need to thrive. Role Overview – Customer Service Representative (National Remote) As a Customer Service Representative at careerzynith , you will be the front line of our member‑centric approach. You will handle high‑volume inbound calls, provide accurate information on eligibility, claims, and payments, and ensure that each interaction ends with a positive, solution‑focused experience. This full‑time, remote position offers flexible 8‑hour shift options between 800 am – 800 pm CST, with occasional overtime as business needs dictate. Even if you have no prior experience, we provide comprehensive on‑the‑job training to equip you with the knowledge and confidence to succeed. Your empathy, problem‑solving mindset, and dedication to service will directly impact the health and well‑being of our members and their families. Key Responsibilities Empathetic Call Handling Answer inbound member calls, listen actively, and resolve inquiries with compassion and professionalism. First‑Call Resolution Identify the nature of each call (benefits, eligibility, claims, billing, provider requests, etc.) and resolve it on the first interaction whenever possible. Accurate Documentation Record all call details, research findings, and resolutions clearly in the system to maintain a complete audit trail. Claims Review & Processing Research, verify, and process health‑care claims, ensuring each claim receives a fair and thorough review. Provider Support Liaise with doctors’ offices and other care providers to schedule appointments, address access‑to‑care issues, and resolve provider‑related inquiries. Collaboration & Escalation Partner with field care teams, supervisors, and specialized departments to elevate complex issues and achieve timely resolutions. Policy & Regulatory Knowledge Stay current on claims policies, Medicare/Medicaid guidelines, CPT/ICD‑10 coding, and other regulatory requirements. Performance Metrics Meet or exceed individual and departmental quality standards, including call handling time, accuracy, and customer satisfaction scores. Continuous Improvement Participate in ad‑hoc projects, share best practices, and contribute ideas that enhance operational efficiency. Telecommuter Compliance Adhere to careerzynith 's Telecommuter Policy, ensuring data security and a dedicated, private workspace. Required Qualifications High School Diploma / GED or 10+ years of equivalent work experience. Minimum 2 years of customer‑service experience in a fast‑paced environment. Ability to type at least 40 words per minute. Must be 18 years of age or older. Flexibility to work two evening shifts per week (typically 11 am – 8 pm EST) and three designated holidays (Day after Thanksgiving, Christmas Eve, New Year’s Day). Willingness to complete and successfully pass the comprehensive Customer Service training program. Availability to work any 8‑hour shift within the 800 am – 800 pm CST window, with occasional overtime as needed. Preferred Qualifications 1+ years of experience in an automatic call distribution (ACD) call‑center setting. Familiarity with CPT and ICD‑10 coding systems. Knowledge of Medicare and Medicaid guidelines and processes. Essential Skills & Competencies Compassionate Communication Ability to quickly build rapport, listen actively, and respond with empathy. Problem‑Solving Acumen Skilled at assessing situations, identifying root causes, and delivering clear, actionable solutions. Technical Proficiency Comfortable navigating multiple software platforms, databases, and knowledge bases simultaneously. Adaptability Flexibility to adjust tone and approach based on diverse member communication styles. Conflict Management Proven ability to de‑escalate tense situations and maintain composure under pressure. Organizational Skills Strong ability to prioritize tasks, manage time effectively, and meet performance targets. Data Security Awareness Commitment to protecting sensitive health information in accordance with HIPAA and careerzynith 's policies. Work Environment & Culture at careerzynith careerzynith fosters a remote‑first culture that values work‑life balance, diversity, and continuous growth. Our employees enjoy Fully remote work with a flexible schedule that respects personal commitments. A supportive onboarding experience that includes weeks of structured training (800 am – 800 pm CST, Monday‑Friday). Regular virtual team huddles, mentorship programs, and peer‑to‑peer learning opportunities. An inclusive environment where every voice is heard, and differences are celebrated. Recognition programs that celebrate outstanding performance and innovative ideas. Compensation, Perks & Benefits While exact salary ranges vary by state, hourly compensation typically falls between $16.00 – $27.31 for eligible locations. In addition to competitive pay, careerzynith offers a comprehensive benefits package that may include Medical, dental, and vision coverage. Retirement savings plans with employer matching contributions. Paid time off, holidays, and flexible leave options. Wellness programs, employee assistance resources, and mental‑health support. Performance‑based incentives, recognition awards, and opportunities for equity participation. Access to continuous learning platforms, certifications, and career‑advancement pathways. Career Growth & Development At careerzynith , your career trajectory is limited only by your ambition. We provide clear pathways to advance into roles such as Senior Customer Service Specialist. Team Lead or Supervisor. Claims Analyst or Quality Assurance Analyst. Training & Development Coordinator. Operations Management and beyond. Our internal mobility program encourages cross‑functional moves, and we invest in tuition reimbursement, certification sponsorships, and leadership development workshops to help you achieve your professional goals. Commitment to Diversity, Equity & Inclusion careerzynith believes that a diverse workforce drives better outcomes for our members and our business. We are an equal‑opportunity employer and welcome applicants of all backgrounds, including those of different races, genders, sexual orientations, ages, abilities, and veteran status. Our inclusive policies ensure a respectful, supportive environment where every employee can thrive. Application Process – Take the Next Step If you are ready to make a meaningful impact, love helping people, and thrive in a dynamic remote setting, we want to hear from you. Apply today and start your journey toward a rewarding career with careerzynith . Your compassion, dedication, and drive will help us deliver the best possible health‑care experience to millions of members across the nation. Apply Now – Join careerzynith! ``` Apply for this job