Job Description:
About Careerzynith
At careerzynith, we believe that exceptional customer service is the cornerstone of a thriving healthcare ecosystem. As a leading organization in the claims coordination industry, we are dedicated to ensuring that every patient receives the care they need while maintaining the highest standards of accuracy, efficiency, and compassion. Our team works tirelessly to process claims seamlessly, advocate for patients, and support healthcare providers across the nation. We are currently seeking a talented and motivated Remote Customer Service & Data Entry Representative to join our dynamic claims coordination team. This is a fully remote position where you will have the opportunity to contribute to meaningful work that directly impacts patients' lives while enjoying the flexibility of working from home.
Position Summary
The Customer Service / Data Entry Representative at careerzynith will provide a wide variety of administrative and staff support services for our claims coordination team. This role is critical to ensuring the smooth processing of claims and maintaining accurate records that Healthcare providers, patients, and insurance partners rely upon. As a key member of our team, you will be responsible for entering claims information into our sophisticated claims management systems, following up on missing documentation, reviewing invoices for accuracy, and compiling comprehensive reports that drive informed decision-making across the organization.
This is a remote position, and careerzynith will provide all necessary equipment including a computer, monitor, and headset. You will only need to maintain your own high-speed internet connection (minimum 25 Mbps download and 5 Mbps upload speed recommended). We have invested heavily in our remote work infrastructure to ensure you have everything you need to succeed from your home office.
U.S. Eligibility Requirements
Interested candidates must submit an application and resume/CV online through our careers portal to be considered for this position. The following eligibility requirements apply:
- Age Requirement: You must be 18 years of age or older or demonstrate legal capacity to enter a contract in your state of residence.
- Background Investigation: Must be willing to submit to a comprehensive background investigation. Any offer of employment is conditioned upon the successful completion of this background investigation.
- Work Authorization: Must have unrestricted work authorization to work in the United States. careerzynith hires U.S. citizens, permanent residents, asylees, refugees, and temporary residents. Temporary residence does not include those with non-immigrant work authorization (F, J, H, or L visas), such as students in practical training status.
- Exceptions: Exceptions to these requirements will be determined based on shortage of qualified candidates with a particular skill. Proof of work authorization will be required before employment.
Essential Duties and Responsibilities
As a Remote Customer Service & Data Entry Representative at careerzynith, you will play a vital role in our claims coordination operations. Your primary responsibilities will include:
- Claims Data Entry: You will primarily be performing data entry of claims information into our proprietary claims management systems. This includes accurately inputting patient information, procedure codes, diagnosis codes, billing amounts, and insurance details. Speed and accuracy are essential as you will be processing a high volume of claims daily.
- Missing Information Follow-Up: You will proactively follow up on missing information required to process claims. This involves communicating with healthcare providers, patients, and insurance companies via phone and email to obtain necessary documentation, coding corrections, or additional clinical information.
- Invoice Review: You will review invoices to ensure accuracy and completeness. This includes verifying that billing codes match procedures performed, checking for duplicate submissions, validating insurance coverage, and ensuring compliance with contractual agreements.
- Report Compilation: You will compile reports from our systems with claims information. These reports will be used by management, quality assurance teams, and executive leadership to assess performance, identify trends, and make strategic decisions about our operations.
- Customer Service Support: You will respond to inquiries from patients, healthcare providers, and insurance companies regarding claim status, coverage questions, and general information requests. Professionalism and empathy are essential in all interactions.
- Quality Assurance: You will participate in quality assurance activities to ensure accuracy and compliance with industry regulations, including HIPAA requirements and internal policies.
- System Navigation: You will become proficient in multiple software systems including our claims management platform, customer relationship management (CRM) system, and various insurance portals.
Required Qualifications
To be successful in this role, candidates must meet the following requirements:
- Education: High school diploma or equivalent (GED accepted).
- Experience: 6 months to 1 year of relevant work experience in administrative, customer service, or data entry roles. Previous experience in healthcare, insurance, or claims processing is preferred but not required.
- Computer Skills: Basic computer skills including proficiency in Microsoft Office Suite (Word, Excel, Outlook). Must be comfortable learning new software applications quickly.
- Typing Skills: Strong typing skills with a minimum typing speed of 35 words per minute with minimal errors.
- Attention to Detail: Strong attention to detail is essential. You must be able to accurately input data and identify discrepancies in documentation.
- Communication Skills: Excellent written and verbal communication skills. You must be able to communicate professionally with diverse stakeholders.
- Organizational Skills: Strong organizational and time management skills to handle multiple tasks and meet deadlines.
- Technical Requirements: You must have a reliable high-speed internet connection, a quiet home office environment, and a dedicated workspace free from distractions.
Preferred Qualifications
While not required, the following qualifications will give you a competitive edge:
- Previous experience in healthcare claims processing, medical billing, or insurance verification.
- Familiarity with medical coding (ICD-10, CPT, HCPCS) and insurance terminology.
- Experience with electronic health records (EHR) or practice management systems.
- Associate's or bachelor's degree in healthcare administration, business, or a related field.
- Call center or customer service experience in a professional environment.
- Knowledge of HIPAA regulations and compliance requirements.
Skills and Competencies Required for Success
Beyond formal qualifications, careerzynith seeks candidates who demonstrate the following competencies:
- Accuracy and Precision: The ability to maintain high accuracy levels even when working at speed. Data quality is critical in our industry.
- Adaptability: Comfortable with change and able to adapt to new processes, systems, and procedures as our operations evolve.
- Initiative: Proactive approach to work, identifying areas for improvement and taking ownership of tasks.
- Team Player: Ability to collaborate effectively with team members and cross-functional departments.
- Problem-Solving: Strong analytical skills to identify issues and develop effective solutions.
- Resilience: Ability to handle high-volume workloads and stressful situations while maintaining professionalism.
- Confidentiality: Understanding of the importance of maintaining patient confidentiality and data security.
Career Growth Opportunities
At careerzynith, we are committed to investing in our employees' professional development and career growth. As a Remote Customer Service & Data Entry Representative, you will have access to numerous advancement opportunities including:
- Training Programs: Comprehensive onboarding training plus ongoing professional development opportunities. We offer tuition reimbursement for relevant certifications and degree programs.
- Career Pathing: Clear career advancement paths to roles such as Senior Claims Representative, Claims Supervisor, Quality Assurance Analyst, or Operations Coordinator.
- Skills Development: Opportunities to develop specialized skills in medical coding, compliance, or operations management.
- Cross-Functional Exposure: Exposure to different departments and functions within the organization, providing a well-rounded understanding of the healthcare industry.
- Industry Knowledge: In-depth knowledge of healthcare claims processing, insurance regulations, and industry best practices.
Work Environment and Company Culture
careerzynith fosters a supportive, inclusive, and performance-driven culture. As a remote employee, you will be part of a virtual team that values collaboration, innovation, and work-life balance. Our culture includes:
- Flexible Work Hours: Flexible work schedules (availability varies by office and job function). We understand that life happens and offer adaptable scheduling when possible.
- Virtual Team Building: Regular virtual team-building activities, company-wide meetings, and employee recognition programs.
- Inclusive Environment: Commitment to diversity, equity, and inclusion. We believe that diverse teams make better decisions and drive innovation.
- Employee Resource Groups: Opportunities to join employee resource groups focused on various interests and identities.
- Community Involvement: Opportunities to participate in volunteer activities and community outreach programs.
Compensation and Benefits
careerzynith offers competitive salaries and comprehensive benefits designed to support your health, wealth, and well-being:
- Competitive Salary: Competitive base salary commensurate with experience and qualifications.
- Health Insurance: Comprehensive medical, dental, and vision plans. Coverage begins on your first day of employment.
- Life Insurance: Company-provided life and accident insurance for peace of mind.
- Retirement Savings: 401(K) retirement plan with company matching. We match a percentage of your contributions to help you save for the future.
- Stock Purchase Plan: Employee stock purchase plan that allows you to purchase careerzynith stock at a discount.
- Educational Assistance: Tuition reimbursement and educational expense reimbursement for approved degree programs and certifications.
- Employee Assistance Program: Confidential support services for personal and professional challenges, including mental health resources and work-life services.
- Paid Time Off: Generous paid time off policy including vacation, sick leave, and personal days.
- Holidays: Paid company holidays observed throughout the year.
- Matching Gift Program: Company matching for charitable donations to qualified organizations.
- Home Office Stipend: Initial stipend for setting up your home office plus ongoing reimbursement for internet and utility costs.
Equal Employment Opportunity
careerzynith believes that all persons are entitled to equal employment opportunity and does not discriminate against nor favor any applicant because of race, sex, color, disability, national origin, religion, creed, age, marital status, citizenship, veteran status, gender, gender identity or expression, actual or perceived sexual orientation, or any other protected characteristic. In addition, careerzynith will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
How to Apply
If you are ready to join a dynamic team and make a meaningful difference in healthcare, we encourage you to apply for this position. To be considered, please submit your application and resume through our careers portal. Our recruiting team will review all applications and contact qualified candidates for next steps.
We look forward to welcoming talented individuals who share our commitment to excellence and passion for helping others. Join careerzynith today and become part of a team that values your contributions, supports your growth, and makes a real impact on patients' lives every day.