Customer Service Representative

Minority Professional Network, Inc.; Chicago (IL); Hybrid; USD 36,000 - 48,000; Full time

Job summary

Zing Health is seeking a Customer Service Representative to be the primary contact for members, providers, and brokers. You will handle inquiries about health insurance benefits, eligibility, and claims with accuracy and professionalism.

You will analyze problems, communicate clear solutions, and work with physician office staff to support coordinated care. Strong oral and written communication, empathy, and teamwork are essential.

Qualifications

• Minimum of a high school diploma or equivalent.
• Prior experience in Customer Service in a Managed Care Organization preferred.
• Ability to type a minimum of 35 words per minute.
• Knowledge of managed care processes and health insurance coverage preferred.
• Outstanding communication skills to handle escalated customer needs.

Responsibilities

• Respond to member/provider/agent/broker inquiries via telephone regarding health insurance benefits, eligibility, and claims.
• Analyze problems and provide correct information and solutions.
• Communicate monthly messages to providers on a specific need basis.
• Treat customers with tact and empathy and establish effective relationships with physician office staff.
• Read, comprehend, and verbalize processes and procedures of the organization and health insurance coverage.
• Multi-task and pay close attention to detail.

Skills

Communication skills

Analytical skills

Problem solving

Typing speed

Teamwork

Empathy

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

COMPANY OVERVIEW

Zing Health is a tech-enabledinsurance company making Medicare Advantage the best it can be for those65-and-over. Zing Health has a community-based approach that recognizes theimportance of the social determinants of health in keeping individuals andcommunities healthy. Zing Health aims to return the physician and the member tothe center of the health care equation. Members receive individualized assistanceto make their transition to Zing Health as easy as possible. Zing Health offersmembers the ability to personalize their plans, access to facilities designedto help them better meet their healthcare needs and a dedicated care team. Formore information on Zing Health, visit www.myzinghealth.com.

SUMMARY DESCRIPTION

The Customer ServiceRepresentative is the primary point of contact for all Zing Health members,providers, agents/brokers. The CustomerService Representative provides all aspects of excellent customer servicedelivery. This position handles issues related to either member or providerinquiries.

ESSENTIAL FUNCTIONS

• Respondto member/provider/agent/broker inquiries via telephone regarding healthinsurance benefits, eligibility, and claims.
• Analyzeproblems and provide correct information and solutions.
• Communicatemonthly messages to providers on a specificneedbasis.
• Dealtactfully and empathetically with customers.
• Establishand maintain effective working relationships with physician office staff.
• Read,comprehend, and verbalize processes and procedures of the organization and ofhealth insurance coverage.
• Multi-taskand pay close attention to detail.

QUALIFICATIONSAND REQUIREMENTS

JOB REQUIREMENTS

Required Qualifications

• Minimumof a high school diploma or equivalent
• Priorexperience in Customer Service in a Managed Care Organization preferred
• Abilityto type a minimum of 35 words per minute
• Knowledgeof managed
• Care processes and health insurance coveragepreferred
• Outstandingcommunication skills and the ability to understand complex situations toeffectively handle escalated customer needs
• Analyticalskills and the ability to read and interpret data
• Problemsolving abilities
• Abilityto work independently and as a part of a team
• Abilityto operate computer programs - Microsoft Word, Microsoft Excel, MicrosoftPowerPoint
• Bilingualpreferred