# Customer Service Representative

**Company:** [YBI Recruiting](http://jobs.workable.com/companies/2XVjB5Cnfv7GpKnercoGbG.md)
**Location:** Alpharetta, United States
**Workplace:** on site
**Employment type:** Full-time
**Department:** CarynHealth

[Apply for this job](http://jobs.workable.com/view/912346c3-63e9-4001-ab17-275bb6fe3ae2)

## Description

**CarynHealth** is looking for customer service professionals to provide expertise and support to members, providers, and other healthcare advocates. **Customer Service Representatives** are responsible for providing direct phone-based customer interaction to answer and resolve a wide variety of inquiries related to CarynHealth's healthcare products and solutions. The ideal candidate will have a commitment to service and providing a best-in-class experience for all callers.

**Primary Responsibilities:**

-   Respond to and resolve customer service inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility, claims and correspondence
-   Assist customers in website navigation and self-service options for their health plan
-   Own a problem through to resolution on behalf of a member in real time or through comprehensive and timely follow-up
-   Escalate member and provider issues to appropriate team members, as defined by our procedures
-   Provide education and status on previously submitted pre-authorizations or pre-determination requests
-   Meet the performance goals established for the position in the areas of efficiency, call quality, customer satisfaction, first call resolution, and attendance
-   Proficient problem-solving skills
-   Proficient in translating healthcare-related terminology and complex processes into simple, step-by-step instructions customers can understand and act upon
-   Flexibility to customize approach to meet all types of member communication styles and personalities
-   Proficient conflict management skills to include ability to resolve issues and demonstrating personal resilience
-   Ability to work without constant direction from management
-   Basic tasks are completed without review by others

## Requirements

**Minimum Qualifications:**

-   High School Diploma / GED
-   1 or more years of customer service experience within the healthcare industry
-   Ability to successfully complete the company training program within the required timeframe
-   Ability to work regularly scheduled shifts within hours of operation, where lunches and breaks are scheduled
-   Flexibility to adjust daily schedule
-   Work overtime and/or weekends, as needed

## Benefits

-   401(k)
-   Health insurance
-   Paid time off