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Posted May 27, 2026

Experienced Customer Service Representative – Medicaid and Medicare Support

At careerzynith, we're on a mission to revolutionize the healthcare experience for our members. As a Customer Service Representative, you'll play a vital role in delivering exceptional support to our Medicaid and Medicare members and providers. If you're passionate about delivering high-quality customer service and making a meaningful impact in the lives of our members, we want to hear from you. **About careerzynith** careerzynith is a leading healthcare organization dedicated to providing innovative solutions that enhance the healthcare experience for our members. With a strong commitment to customer service, we strive to create a positive and supportive environment for our members and providers. Our team is passionate about making a difference in the lives of our members, and we're looking for like-minded individuals to join our team. **The Role** As a Customer Service Representative, you'll be responsible for providing exceptional telephone assistance to our Medicaid and Medicare members and providers. Your primary responsibilities will include: * Answering incoming member and provider calls and responding to inquiries regarding benefits, eligibility, services, prior authorization requirements, extra benefits, and programs. * Providing excellent customer service to ensure a positive experience for callers. * Meeting performance standards, attendance requirements, and call quality goals. * Communicating effectively with members and providers both orally and in written form. * Maintaining high-speed internet connectivity with secure service via ethernet cable. **Key Qualifications** To succeed in this role, you'll need to possess the following essential qualifications: * High School Diploma or equivalent GED. * Ability to communicate effectively with members and providers orally and in written form. * Ability to meet performance standards, attendance requirements, and call quality goals. * Must be able to work from home and prove to be self-sufficient. * Must commute to the office in Charleston, WV when unable to work from home due to prolonged technical problems. **Nice-to-Haves** While not required, the following qualifications would be beneficial in this role: * Experience with working remotely in a call center setting. * Experienced with Medicaid and Medicare. **Benefits and Perks** As a valued member of our team, you'll enjoy a comprehensive range of benefits and perks, including: * Full range of medical, dental, and vision benefits. * 401(k) retirement savings plan. * Employee Stock Purchase Plan for eligible employees. * Fully-paid term life insurance plan for eligible employees. * Short-term and long-term disability benefits. * Numerous well-being programs. * Education assistance and free development courses. * CVS store discount and discount programs with participating partners. * Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. **Career Growth Opportunities** At careerzynith, we're committed to helping our employees grow and develop their careers. We offer a range of training and development programs, including: * Comprehensive onboarding program to ensure a smooth transition into your new role. * Ongoing training and coaching to help you develop your skills and knowledge. * Opportunities for career advancement and professional growth. **Work Environment and Company Culture** Our office is a dynamic and supportive environment that fosters collaboration, innovation, and creativity. We're committed to creating a positive and inclusive work culture that values diversity, equity, and inclusion. As a remote worker, you'll have the flexibility to work from home and enjoy a better work-life balance. **How to Apply** If you're passionate about delivering exceptional customer service and making a meaningful impact in the lives of our members, we want to hear from you. Please submit your application, including your resume and a cover letter, to [insert contact information]. We can't wait to hear from you! **Equal Employment Opportunity** careerzynith is an equal employment opportunity employer and welcomes applications from diverse candidates. We're committed to creating a workplace that's inclusive, respectful, and free from discrimination.