Customer Service Representative – Member Services (Temporary) – Healthcare Administration & Support

Welcome to careerzynith – Where Member Care Meets Career Growth

At careerzynith, we are a leading independent physician association dedicated to delivering compassionate, high‑quality health services to our members across Southern California. Our mission is to simplify the healthcare journey, ensuring every member receives timely information, seamless authorizations, and clear billing guidance. As we continue to expand, we are looking for enthusiastic, detail‑oriented professionals to join our dynamic Member Services team. If you thrive in a fast‑paced environment, love helping people, and enjoy mastering complex healthcare processes, this temporary Customer Service Representative role could be your next great career move.

Why Choose careerzynith?

Working at careerzynith means becoming part of a collaborative community that values learning, innovation, and personal development. Our employees are our greatest asset, and we invest heavily in their well‑being through competitive compensation, comprehensive benefits, and a culture that celebrates both individual and team achievements. Whether you’re just starting out in healthcare support or looking to sharpen your expertise, careerzynith offers the resources and mentorship you need to excel.

Position Overview

The Customer Service Representative – Member Services (Temporary) is the front line of communication between our members, health plans, and internal departments. Under general supervision, you will handle inbound calls, resolve inquiries related to authorizations, eligibility, billing, and referrals, and document each interaction accurately in our EZCAP 6X and REA/LEA systems. Your role is pivotal in maintaining the high standards of service that careerzynith promises to its members.

Key Responsibilities

• Answer and manage incoming calls from members and health plans, addressing a wide range of service‑related questions.
• Maintain a minimum productivity standard of 35 calls per day while ensuring each call is fully documented.
• Utilize standardized processes and tools, including EZCAP 6X and REA/LEA, to research authorizations, eligibility, and billing details.
• Resolve routine and complex issues concerning eligibility, authorization status, provider access, and member billing.
• Provide clear, empathetic explanations to members about authorizations, billing concerns, eligibility, and urgent care options.
• Document all interactions meticulously in the EZCAP 6X customer service module and REA/LEA system.
• Uphold HIPAA and PHI confidentiality standards in every interaction and documentation step.
• Access interpretation language lines for non‑English speaking members as needed.
• Work independently to resolve telephonic issues, prioritizing tasks to maintain workflow efficiency.
• Communicate professionally with all levels of management and staff, ensuring accuracy and proper grammar in both written and verbal exchanges.
• Demonstrate a warm, pleasant phone demeanor, employing tact, empathy, sound judgment, and patience.
• Interpret health plan benefits and provider contracts to accurately answer member inquiries.
• Maintain a typing speed of at least 45 WPM with high accuracy.
• Exhibit strong organizational skills, prioritizing tasks and paying close attention to detail.
• Collaborate with internal departments to understand their roles and responsibilities, enhancing overall service delivery.
• Meet or exceed daily production goals, handling a minimum of 35 calls while delivering high‑quality service.
• Perform any additional duties assigned by management to support team objectives.

Essential Qualifications

• Minimum two (2) years of customer service experience, preferably in a healthcare setting.
• Proven experience with multi‑line telephone systems and high‑volume call handling.
• High school diploma or equivalent; additional education in health administration is a plus.
• Demonstrated ability to handle confidential information responsibly.
• Exceptional verbal and written communication skills, with a pleasant telephone manner.
• Ability to read, write, and comprehend English fluently.
• Familiarity with CPT and HCPCS coding distinctions.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint, Access).
• Comfortable using office equipment such as computers, fax machines, and printers.
• Self‑starter attitude with a willingness to take on multiple tasks simultaneously.
• Capability to interpret health plan benefits and provider contracts accurately.
• Strong typing skills (minimum 45 WPM) with high accuracy.
• Ability to manage a minimum of 35 calls per day while maintaining thorough documentation.

Preferred Qualifications

• Experience with EZCAP 6X, REA/LEA, or similar healthcare administration platforms.
• Previous exposure to member services within an independent physician association.
• Certification in medical office administration or a related field.
• Demonstrated track record of meeting or exceeding call‑center productivity metrics.
• Multilingual abilities or experience using interpreter services for non‑English speakers.

Core Skills & Competencies

• Customer‑Centric Mindset: Ability to anticipate member needs and provide solutions with empathy.
• Analytical Thinking: Skill in researching and interpreting complex eligibility and authorization data.
• Attention to Detail: Precise documentation and adherence to compliance standards.
• Time Management: Efficiently prioritize tasks to meet daily call volume targets.
• Team Collaboration: Work effectively with internal departments to resolve cross‑functional issues.
• Technical Proficiency: Comfortable navigating multiple software platforms and troubleshooting technical issues.
• Professional Communication: Clear, concise, and courteous interaction with members, providers, and colleagues.

Career Growth & Learning Opportunities

At careerzynith, temporary positions often serve as gateways to permanent roles. High‑performing representatives may be considered for full‑time opportunities in member services leadership, training, or specialized health plan coordination. We provide ongoing training, access to industry webinars, and tuition reimbursement programs to support your professional development.

Compensation, Perks & Benefits

We offer a competitive hourly wage ranging from $20 to $21, commensurate with experience, location, and skill set. In addition to base pay, eligible employees may receive:

• Sign‑on bonuses and discretionary performance awards.
• Comprehensive medical, dental, vision, and pharmacy coverage (employer‑paid for employees).
• Zero co‑pay for physician office visits.
• Flexible Spending Account (FSA) options.
• Employer‑paid life insurance and income protection.
• 401(k) retirement savings plan with company matching.
• Paid vacation, sick leave, holidays, and parental leave.
• Employee Assistance Program (EAP) and behavioral health services.
• Tuition reimbursement, license renewal CEU reimbursement, and professional development funds.
• Business‑casual dress code, mileage reimbursement, and employee referral bonuses.
• Regular company celebrations and recognition events.

Work Environment & Culture at careerzynith

Our offices are designed to foster collaboration, with open workspaces, quiet zones for focused tasks, and modern technology to support remote and hybrid work arrangements. The culture at careerzynith is built on mutual respect, continuous learning, and a shared commitment to member well‑being. We celebrate diversity, encourage innovative thinking, and provide mentorship programs that help every employee reach their full potential.

Application Process

If you are ready to bring your customer service expertise to a purpose‑driven organization and make a tangible difference in members’ lives, we want to hear from you. Click the link below to submit your application and begin your journey with careerzynith. We look forward to welcoming a dedicated professional to our team!

Apply Job!