Call Center Customer Service Representative

Zyter; Northern (KY); Hybrid; USD 21,000 - 28,000; Full time

Job summary

Zyter is seeking a Call Center Customer Service Representative to support inbound/outbound calls for providers and beneficiaries on basic health insurance and prior authorization inquiries. This entry-level role is designed for individuals new to healthcare administration and offers growth under close supervision.

Remote US-based position; you will document interactions in systems, follow scripts, and complete CMS training while meeting quality and timeliness targets.

Qualifications

• High school diploma or equivalent required; associate or bachelor's preferred.
• 0–2 years in customer service or healthcare administration.
• Strong communication and ability to learn complex topics.

Responsibilities

• Answer inbound calls in a professional, empathetic, and compliant manner.
• Provide basic information related to prior authorization status, program participation and routing, and general Medicare processes.
• Accurately document calls, interactions, and outcomes in designated systems.
• Escalate clinical, complex, or policy-based questions to senior representatives or supervisors.
• Follow established call scripts, workflows, and compliance guidelines.
• Participate in required training related to CMS, Medicare, and operations.
• Meet performance expectations for call quality, accuracy, and timeliness.

Skills

Strong communication skills

Willingness to learn

Comfort using multiple systems

Education

High school diploma or equivalent

Associate or bachelor's degree preferred

Job description

Call Center Customer Service Representative

Remote, US-Based

About Zyter

Zyter is a healthcare technology company building the industry's first agentic AI orchestration platform for payer and provider organizations. Our platform, anchored by Zyter Praxis™ (workflow and outcomes engine) and Zyter Symphony™ (AI orchestration control plane), enables health plans and health systems to move from manual, siloed operations to intelligent, governed automation across utilization management, care management, claims, and population health.

Position: Call Center Customer Service Representative
Location: US (Remote)
Experience: 0–2 Years
Role Type: Full-Time

Overview

The Customer Service Representative (CSR) supports inbound and outbound calls, assisting providers and beneficiaries with basic health insurance and prior authorization inquiries. This entry-level role is designed for individuals who are new to healthcare administration and interested in building foundational knowledge of payer operations under close supervision.

Key Responsibilities

• Answer inbound calls in a professional, empathetic, and compliant manner.
• Provide basic information related to prior authorization status, program participation and routing, and general Medicare processes.
• Accurately document calls, interactions, and outcomes in designated systems.
• Escalate clinical, complex, or policy-based questions to senior representatives or supervisors.
• Follow established call scripts, workflows, and compliance guidelines.
• Participate in required training related to CMS, Medicare, and operations.
• Meet performance expectations for call quality, accuracy, and timeliness.

Knowledge & Skill Development

Successful candidates will develop foundational knowledge in:

• Health insurance and Medicare fundamentals.
• Basic prior authorization concepts and terminology.
• Call center compliance standards, including HIPAA and CMS guidelines.
• Program structure and escalation pathways.

Qualifications

• High school diploma or equivalent required; associate or bachelor's degree preferred.
• 0–2 years of experience in customer service or healthcare administration.
• Strong communication skills and willingness to learn complex topics.
• Comfort using multiple systems while handling live calls.
• Ability to follow structured workflows and escalation protocols.