Provider Customer Service Call & Chat Representative – Remote (Tennessee) – careerzynith Healthcare Provider Support Specialist

About careerzynith – Transforming Healthcare Through Compassionate Provider Support

careerzynith is a leading force in the health‑care ecosystem, dedicated to simplifying the experience for both members and the providers who care for them. Our mission is to build a more responsive, affordable, and equitable health‑care system—one that removes barriers and creates healthier communities across the nation. As a remote member of the careerzynith team, you will play a pivotal role in ensuring that physicians, clinics, and billing offices receive the timely, accurate information they need to keep patients healthy and satisfied.

Why This Role Matters

Every day, providers rely on careerzynith to navigate complex benefits, eligibility questions, billing inquiries, clinical authorizations, and behavioral health concerns. Your expertise will directly influence the quality of care delivered to millions of members, helping providers focus on what they do best—providing compassionate medical care. If you thrive in a fast‑paced, multi‑channel environment and enjoy solving intricate problems, this is the opportunity to make a tangible impact on the health of entire communities.

Key Responsibilities

• Provider Advocacy: Act as the trusted advocate for health‑care providers, taking ownership of issues and ensuring they are resolved efficiently and courteously.
• Multi‑Channel Support: Deliver exceptional service via phone calls and concurrent chat sessions, adapting to the preferred communication method of each provider.
• Rapid Triage: Quickly assess and prioritize inbound contacts from physician offices, clinics, and billing departments, directing them to the appropriate resources.
• Comprehensive Issue Resolution: Address a wide range of inquiries—including benefits and eligibility, billing and payments, clinical authorizations, explanations of benefits (EOB), and behavioral health—by researching policies, navigating multiple systems, and providing clear, actionable answers.
• Complex Problem Solving: Dissect intricate prior‑authorization and claim issues, implement corrective actions, and prevent repeat calls or escalations.
• Collaboration: Partner with internal teams across the Claims, Services, and Eligibility divisions to coordinate resolutions and communicate outcomes to providers promptly.
• System Navigation: Efficiently operate more than 30 internal applications and databases to retrieve necessary information and resolve cross‑functional queries.
• Digital Tool Promotion: Encourage providers to adopt careerzynith’s self‑service digital platforms, guiding them through navigation and highlighting the benefits of faster, automated resolutions.
• Performance Excellence: Meet and exceed quality, productivity, and customer‑satisfaction metrics while maintaining compliance with careerzynith policies and regulatory standards.

Essential Qualifications

• High School Diploma or GED (or equivalent work experience).
• Minimum age of 18 years.
• At least 1 year of customer‑service experience, with a proven track record of analyzing and solving client concerns.
• Proficiency with Windows‑based PC applications and the ability to quickly learn new, complex software systems.
• Typing speed of 35–40+ words per minute with a minimum 90% accuracy rate.
• Availability to work full‑time (40 hours/week) on an 8‑hour shift schedule between 9:00 AM – 5:30 PM CST, Monday through Friday. Flexibility to cover occasional overtime, weekends, or holidays as business needs dictate.

Preferred Qualifications

• Experience in a call‑center, office, or similar environment where phones and computers are primary tools.
• Prior exposure to health‑care settings, including familiarity with medical terminology, billing cycles, and provider workflows.
• Demonstrated ability to handle high‑volume, multi‑task environments while maintaining composure and empathy.

Core Soft Skills & Competencies

• Multitasking Mastery: Ability to manage simultaneous conversations, type responses, and navigate multiple screens without sacrificing accuracy.
• Problem‑Solving Acumen: Strong analytical skills to identify root causes, develop solutions, and prevent recurring issues.
• Emotional Intelligence: Demonstrated empathy and active listening, enabling you to connect with providers and de‑escalate challenging situations.
• Time Management: Efficiently prioritize tasks to meet service level agreements and maintain high productivity.
• Written Communication: Clear, concise, and professional written communication for chat interactions and follow‑up emails.
• Quality Focus: Consistent achievement of quality standards, with a commitment to continuous improvement.

Telecommuting Requirements – Tennessee Residents

• Must reside within the state of Tennessee.
• Dedicated, private workspace separate from household traffic to ensure confidentiality of member and provider information.
• Secure handling of all careerzynith‑sensitive documents and data.
• Reliable high‑speed internet connection that meets careerzynith’s technical specifications.
• Compliance with careerzynith’s Telecommuter Policy, including regular attendance at virtual training and team meetings.

Training & Onboarding

Successful candidates will participate in a comprehensive 12‑week paid training program conducted entirely virtually. Training hours mirror regular shift times (9:00 AM – 5:30 PM CST, Monday‑Friday) and provide hands‑on experience with careerzynith’s systems, policies, and provider‑support best practices. Throughout the program, you will receive mentorship from seasoned professionals, performance feedback, and the tools needed to excel in your role.

Career Growth & Development Opportunities

careerzynith invests heavily in the professional development of its employees. As a Provider Customer Service Representative, you will have access to:

• Continuous learning modules covering advanced health‑care regulations, claims processing, and digital tool adoption.
• Internal mobility pathways to roles such as Provider Relations Specialist, Clinical Authorization Analyst, or Operations Team Lead.
• Leadership development programs for high‑performing individuals interested in supervisory or managerial tracks.
• Mentorship circles and peer‑network groups that foster knowledge sharing and career guidance.

Compensation, Benefits & Perks

careerzynith offers a competitive salary package aligned with industry standards for remote health‑care support roles. In addition to base pay, eligible employees receive:

• Health, dental, and vision insurance options with employer contributions.
• Retirement savings plans featuring company matching contributions.
• Generous paid time off (PTO) and holiday schedules.
• Flexible work‑from‑home arrangements, including equipment stipends for ergonomic office setup.
• Employee assistance programs (EAP) that provide counseling, financial guidance, and wellness resources.
• Recognition programs that celebrate outstanding performance, innovation, and teamwork.

Work Environment & Culture at careerzynith

At careerzynith, we champion an inclusive, collaborative, and purpose‑driven culture. Our core values—Compassion, Integrity, Innovation, and Accountability—guide every interaction, whether with members, providers, or teammates. As a remote employee, you will be part of a vibrant virtual community that encourages:

• Regular virtual town halls and team‑building events to keep connections strong.
• Diversity, equity, and inclusion initiatives that ensure every voice is heard and respected.
• Environmental stewardship efforts, including carbon‑offset programs and sustainable workplace practices.
• Open communication channels with leadership, fostering transparency and shared purpose.

Commitment to Diversity & Equal Opportunity

careerzynith is an Equal Employment Opportunity and Affirmative Action employer. We celebrate diversity and are committed to creating a workplace where individuals of all races, genders, sexual orientations, ages, abilities, and backgrounds can thrive. All qualified applicants will receive consideration for employment without regard to protected characteristics.

Application Process

If you are ready to join a forward‑thinking organization that values your expertise, empathy, and drive to support health‑care providers, we encourage you to apply today. Click the link below to submit your application and begin your journey with careerzynith.

Apply Now – Provider Customer Service Call & Chat Representative

Take the Next Step

At careerzynith, your work will directly influence the health outcomes of countless individuals. By providing exceptional support to our network of providers, you become an essential part of a mission‑driven team that is reshaping the future of health care. Join us, grow your career, and help us build a healthier tomorrow.