Join careerzynith's dynamic team and contribute to the growth and success of our organization. As a Medicare Outreach Customer Service Representative, you will play a vital role in promoting healthy lifestyles among our members, fostering relationships with providers and community agencies, and driving quality improvement initiatives. • *About careerzynith** careerzynith is a leading healthcare organization dedicated to delivering high-quality services and innovative solutions to our members. Our mission is to help people live healthier and more satisfying lives, and we are committed to fostering a culture of excellence, collaboration, and mutual respect. With a strong presence in Michigan and Indiana, careerzynith is a trusted partner in the healthcare industry, and we are seeking talented individuals to join our team.

• *Job Summary**

We are seeking an experienced Medicare Outreach Customer Service Representative to join our team in a remote capacity. As a key member of our Customer Service department, you will be responsible for delivering, strategizing, and improving quality with a focus on primary care. You will educate and network with people of diverse backgrounds and cultures on products and programs to attract and retain membership in the Plan. You will also establish and maintain relationships for the promotion of healthy lifestyles among membership, track and trend HEDIS or Medicare Stars rates, and foster the Plan's presence in the community by interacting with members, providers, and outside agencies as assigned.

• *Key Responsibilities**

• Deliver, strategize, and improve quality with a focus on primary care

• Educate and network with people of diverse backgrounds and cultures on products and programs to attract and retain membership in the Plan
• Establish and maintain relationships for the promotion of healthy lifestyles among membership
• Track and trend HEDIS or Medicare Stars rates
• Foster the Plan's presence in the community by interacting with members, providers, and outside agencies as assigned
• Support the Customer Service department Medicare Stars Program
• *Qualifications**

•

Required:

+ High School Diploma or equivalent educational certification + Two (2) years' experience in a customer service-related position

Preferred:

+ Associate Degree in health care administration, communication, marketing, or related field + One year experience in a community-focused outreach position + NCQA experience specific to HEDIS measurement + In-depth understanding of claims administration as it pertains to provider payments, including CPT-4 codes, revenue codes, HCPCS codes, DRGs, etc.

• *Skills and Competencies**

• Excellent communication and interpersonal skills

• Ability to work in a fast-paced environment and prioritize multiple tasks and responsibilities
• Strong analytical and problem-solving skills
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office and other software applications
• Strong customer service skills and ability to resolve member and provider issues in a timely and professional manner
• *Career Growth Opportunities and Learning Benefits**

• careerzynith offers a comprehensive training program to ensure your success in this role

• Opportunities for career advancement and professional growth within the organization
• Access to ongoing education and training programs to enhance your skills and knowledge
• Collaborative and dynamic work environment with a team of dedicated professionals
• *Work Environment and Company Culture**

• careerzynith is an equal opportunity employer and values diversity and inclusion in the workplace

• We offer a remote work arrangement to provide flexibility and work-life balance
• Our organization is committed to fostering a culture of excellence, collaboration, and mutual respect
• We offer a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off
• *Compensation, Perks, and Benefits**

• Competitive salary and bonus structure

• Comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off
• Opportunities for professional growth and advancement within the organization
• Collaborative and dynamic work environment with a team of dedicated professionals
• *How to Apply**

If you are a motivated and results-driven individual with a passion for delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We look forward to hearing from you!

• *Equal Opportunity Employer**

careerzynith is an equal opportunity employer and values diversity and inclusion in the workplace. We are committed to creating a work environment that is inclusive and respectful of all employees, regardless of their background, culture, or identity.