Experienced Remote Customer Service Representative – Healthcare Industry with TriZetto Provider Solutions

Join a Dynamic Team with Excellent Growth Opportunities in Healthcare Customer Service

We are seeking a highly skilled and motivated Customer Service Representative to join our team at TriZetto Provider Solutions. As a leading provider of healthcare solutions, we are committed to delivering exceptional customer experiences and are looking for individuals who share our passion for delivering outstanding service. In this role, you will have the opportunity to work remotely and provide technical assistance and support to our internal and external clients, trading partners, and vendors who utilize our products.

About TriZetto Provider Solutions

TriZetto Provider Solutions is a leading provider of healthcare solutions, dedicated to helping healthcare providers and payers navigate the complex healthcare landscape. Our products and services are designed to streamline operations, improve efficiency, and enhance the overall quality of care. We are a dynamic and growing company with a strong commitment to customer satisfaction and employee development.

Job Summary

As a Customer Service Representative, you will be responsible for providing technical assistance and support via inbound phone calls to our clients, trading partners, and vendors. You will answer calls in an efficient, courteous, and accurate manner, while assessing customer needs and offering solutions. If you have a passion for delivering exceptional customer experiences and are looking for a challenging and rewarding role, we encourage you to apply.

Key Responsibilities

• Answer a high volume of inbound technical phone calls from clients, trading partners, and vendors
• Troubleshoot, diagnose, and resolve technical issues with high First Contact Resolution (FCR) rates
• Follow established policies, procedures, processes, and workflows to ensure appropriate resolution of issues of limited scope
• Document all issues, comments, and resolutions in our software system applications
• Provide exceptional customer service and support to clients, trading partners, and vendors
• Work collaboratively with internal teams to resolve complex technical issues
• Participate in ongoing training and development to stay up-to-date on products and services

Essential Qualifications

Education

A high school diploma, GED Certificate, or equivalency is required. Associates or bachelor's degree in Healthcare Management is preferred.

Experience

A minimum of two years of experience in customer service is required. Understanding of the insurance industry, electronic claims, medical office knowledge, and/or coding/billing is preferred.

Technical Competencies

• Proficient in computer skills, including typing, navigating Windows-based platforms, and utilizing Microsoft Office applications
• Strong customer service and quality orientation
• Excellent problem-solving skills

Behavioral Competencies

• Excellent verbal communication and written documentation skills
• Strong customer service skills
• Ability to work in a fast-paced team environment with excellent organizational skills

What We Offer

Compensation and Benefits

The hourly rate for this position is between $16.00 - $17.54 per hour, depending on experience and other qualifications of the successful candidate. We also offer a comprehensive benefits package, including:

• Medical, dental, and vision insurance
• Paid time off plans
• About 10 paid company holidays annually (varies slightly year to year)
• Monday - Friday schedule with no weekend hours
• Phones close at 6:00 pm CST with no late hours
• Incentive plan with the potential to earn up to $1000 extra each quarter
• 401(k) plan and contributions
• Long-term and short-term disability insurance
• Paid parental leave
• Employee Stock Purchase Plan

Career Growth Opportunities

We are committed to the growth and development of our employees. As a Customer Service Representative, you will have opportunities to:

• Advance in your career within the Call Center
• Explore opportunities for growth throughout our organization
• Participate in ongoing training and development to stay up-to-date on products and services

Work Environment and Company Culture

We offer a dynamic and supportive work environment that values collaboration, innovation, and customer satisfaction. As a remote employee, you will have the flexibility to work from home and maintain a healthy work-life balance. Our company culture is built on the following values:

• Customer focus
• Integrity
• Respect
• Innovation
• Teamwork

How to Apply

If you are a motivated and customer-focused individual looking for a challenging and rewarding role, we encourage you to apply. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you!