Join careerzynith and Make a Meaningful Impact in Healthcare Member Services
Are you a compassionate, detail-oriented professional who thrives in a fast-paced, member-focused environment? careerzynith is partnering with a mission-driven, non-profit healthcare organization to find a dedicated Remote Customer Service Representative – Healthcare Call Center & Member Support Specialist who is passionate about helping people navigate their healthcare benefits with confidence and clarity.
This is more than a typical call center role. As a frontline advocate for members, providers, and community partners, you will play a vital part in ensuring that every caller receives accurate information, empathetic service, and timely resolution. If you are looking for a long-term contract opportunity where your communication skills, problem-solving abilities, and commitment to service excellence will directly improve the lives of individuals and families across Colorado, this role at careerzynith is built for you.
About careerzynith and Our Healthcare Mission
careerzynith is a trusted talent partner that connects skilled professionals with leading non-profit healthcare organizations making a measurable difference in the communities they serve. Our client is a respected Colorado-based healthcare organization dedicated to improving health outcomes through accessible, high-quality coverage and member-centered support. Their work spans Medicare, Medicaid, and other essential government-sponsored health programs, with a strong commitment to compliance, NCQA standards, and continuous quality improvement.
At careerzynith, we believe that exceptional customer service is the cornerstone of quality healthcare delivery. Every call answered, every question resolved, and every follow-up completed contributes to a stronger, healthier community. By joining this team, you become part of an organization where your daily work truly matters — not just to the bottom line, but to the well-being of real people.
Key Responsibilities of the Remote Customer Service Representative
As a Remote Customer Service Representative supporting careerzynith’s healthcare partner, you will serve as the first point of contact for a diverse range of internal and external customers, including members, providers, potential members, state agencies, and internal departments. Your day-to-day responsibilities will include, but are not limited to, the following:
- Answering Incoming Calls with Empathy and Professionalism: Handle a steady volume of inbound calls in a remote call center environment, consistently demonstrating a customer-first philosophy while serving providers, members, prospective members, state agencies, and other stakeholders.
- Explaining Policies, Procedures, and Benefits: Clearly and accurately communicate existing healthcare policies, procedures, and benefit information to members, providers, and internal departments in a way that is easy to understand and actionable.
- Researching, Resolving, and Documenting Inquiries: Thoroughly research and resolve customer questions, concerns, and issues. Document each interaction with precision in the CRM tool, ensuring a complete and accurate record of the inquiry and resolution.
- Conducting Proactive Outgoing Calls: Place outbound calls to follow up on member and provider inquiries, communicate benefit information, support retention efforts, address claims questions, and respond to other time-sensitive needs.
- Leveraging Multiple Resources and Systems: Utilize resource materials, policy and procedure manuals, handouts, databases, training opportunities, and multiple integrated systems to deliver accurate information and handle day-to-day activity efficiently.
- Maintaining Comprehensive CRM Documentation: Provide clear, detailed, and timely documentation of every call received in the organization’s CRM platform, supporting continuity of care and quality assurance.
- Upholding Strict Confidentiality: Maintain the highest level of confidentiality regarding member, provider, clinical, and organizational information in compliance with HIPAA and company policy.
- Collaborating Across Departments: Work closely with multidisciplinary teams and internal departments to support organizational goals related to new line of business development, increased enrollment, and compliance with state and federal regulations, as well as NCQA requirements.
- Identifying and Handling Grievances and Appeals: Recognize potential grievances and appeals, handle them appropriately, and facilitate quality outcomes and resolutions that benefit all applicable parties.
- Supporting Departmental Projects: Assist with special projects and initiatives as directed by the Customer Service management team, and perform other duties as assigned during slow periods or between calls.
Essential Qualifications and Requirements
To be considered for this long-term contract role through careerzynith, candidates must meet the following essential qualifications:
- Customer Service Experience: A minimum of 1–2 years of customer service experience, preferably in a call center, healthcare, or member services environment.
- High School Diploma or Equivalent: A high school diploma or GED is required.
- Microsoft Office Proficiency: Strong working knowledge of Microsoft Office Suite, including Outlook, Word, Excel, and Teams.
- Call Center Environment Readiness: Demonstrated ability to work effectively in a high-volume call center environment while maintaining professionalism, empathy, and accuracy.
- Communication Skills: Excellent written and verbal communication skills, with the ability to explain complex information clearly and concisely.
- Problem-Solving and Critical Thinking: Strong problem-solving skills, attention to detail, and sound judgment when handling member and provider inquiries.
- Organizational and Time Management Skills: Proven ability to manage multiple priorities, work independently in a remote setting, and maintain productivity in a structured environment.
- Location Requirement: Must reside in or near Denver, Colorado, as this is a remote role tied to the Colorado market.
Preferred Qualifications That Set You Apart
While not required, the following qualifications will help you stand out as an ideal candidate for careerzynith and our healthcare partner:
- Medical Insurance Knowledge: Hands-on experience with Medicare and Medicaid eligibility, enrollment, benefits, and plan structures is highly preferred.
- Grievance and Appeals Experience: Prior experience identifying, handling, and resolving member grievances and appeals.
- Mission Alignment: A demonstrated commitment to the client’s mission, vision, and values, with a passion for serving vulnerable populations.
- Call Center Experience: At least one year of dedicated call center experience in a customer-facing role.
- Healthcare Industry Background: Previous work within a non-profit healthcare organization, managed care plan, or government-sponsored program.
Skills and Competencies for Success at careerzynith
Success in this role requires a balanced blend of technical skills, interpersonal strengths, and personal attributes. The ideal candidate will demonstrate:
- Empathy and Active Listening: The ability to genuinely understand caller concerns and respond with compassion.
- Adaptability: Comfort navigating changing priorities, new systems, and evolving healthcare regulations.
- Resilience: The capacity to remain calm, professional, and solution-oriented in challenging or emotionally charged conversations.
- Attention to Detail: A meticulous approach to documentation, data entry, and compliance.
- Team Collaboration: A cooperative spirit and willingness to partner with colleagues across departments.
- Self-Management: Discipline and focus to thrive in a fully remote work environment.
Work Environment, Schedule, and Remote Setup
This is a fully remote, long-term contract position offered through careerzynith, with the opportunity to support a respected Colorado-based healthcare organization. As a remote employee, you will need a quiet, dedicated workspace, a reliable high-speed internet connection, and the ability to maintain focus throughout your shift. The organization provides the necessary technology, training, and support to help you succeed from day one. You will join a virtual team that values connection, collaboration, and ongoing communication through regular check-ins, team meetings, and continuous coaching.
Compensation and Benefits
careerzynith is committed to offering competitive compensation for contract professionals. For this role, the pay rate is $19.00 – $24.00 per hour, depending on experience and qualifications. In addition, contractors may be eligible for the following benefits, subject to plan eligibility and terms:
- Health Insurance: Comprehensive medical coverage to support your well-being.
- Dental Insurance: Affordable dental care options.
- Vision Insurance: Coverage for routine eye care and vision needs.
- Professional Development: Access to training resources, systems training, and skill-building opportunities through careerzynith and our healthcare partner.
Career Growth and Learning Opportunities
Working with careerzynith means more than just a contract — it is a chance to grow. Our healthcare partner invests in its representatives through structured onboarding, ongoing coaching, and access to subject matter experts across compliance, claims, and clinical operations. Many customer service professionals in this organization go on to build long-term careers in areas such as member services leadership, training and quality, utilization management, and compliance. By joining careerzynith, you position yourself at the intersection of meaningful work and meaningful career development.
Why Apply Through careerzynith?
When you apply through careerzynith, you are not just applying for a job — you are partnering with a team that is invested in your success. We work closely with mission-driven organizations to ensure our contractors are supported, respected, and equipped to thrive. From your first conversation to the end of your assignment, careerzynith is your advocate, your resource, and your connection to work that truly makes a difference.
Take the Next Step in Your Career
If you are a motivated customer service professional with a passion for helping others, a strong work ethic, and the skills to thrive in a remote healthcare call center environment, we encourage you to apply today. Join careerzynith and become a trusted voice for members and providers who rely on compassionate, knowledgeable support. Your next meaningful career move starts here — and we are excited to help you make it happen.
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