**Experienced Customer Service Representative - National Remote Opportunity to Make a Difference in Healthcare**

Are you passionate about delivering exceptional customer service and making a positive impact on people's lives? Do you thrive in a fast-paced environment where no two interactions are the same? If so, we invite you to join blithequark's team of dedicated professionals who are simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. At blithequark, we're committed to helping people live healthier lives and making the health system work better for everyone. Our mission is to provide accessible, affordable, and equitable healthcare solutions that address the unique needs of our diverse population. As a Customer Service Representative, you'll play a critical role in delivering exceptional customer experiences, resolving complex issues, and exceeding our members' expectations. **About blithequark** blithequark is a leading healthcare organization that's dedicated to transforming the way healthcare is delivered. Our team of passionate professionals is driven by a shared vision of creating a healthier world where everyone has access to quality care. With a strong commitment to diversity, equity, and inclusion, we strive to create a workplace culture that values and celebrates individual differences. **Job Summary** As a Customer Service Representative, you'll be the face of blithequark, providing empathetic and professional support to our members and their families. You'll work in a fast-paced, high-volume environment, responding to calls, resolving issues, and exceeding customer expectations. Your compassion, customer service expertise, and ability to multitask will make you an invaluable asset to our team. **Key Responsibilities** * Address and resolve customer service calls empathetically and professionally * Accurately document, research, and resolve all inquiries, ensuring documentation is clear and complete * Respond and resolve inquiries on the first call by identifying the topic and type of assistance the caller needs (benefits, eligibility, material requests, physician assignments, claims, billing, and payment, etc.) * Monitor and expeditiously close any inquiries that require follow-up based on departmental guidelines * Refer unresolved inquiries/Grievances to designated areas for investigation * Own problems through resolution on behalf of the caller in real-time or through comprehensive and timely follow-up with support resources/partner with others to resolve complex issues * Intervene with care providers (doctor's offices) on behalf of participants (assist with appointment scheduling, access to care issues, etc.) * Assist providers with all levels of requests, ability to problem-solve through resolution * Coordinate with field Care Team staff for issue elevation and resolution * Maintain up-to-date knowledge and understanding of claims policies, regulatory requirements, and guidelines * Successfully utilize all resources available to handle inquiries/multitask * Meet or exceed individual and departmental quality standards/achieve performance goals * Adhere, keep updated, and utilize all company guidelines, policies, and procedures * Prioritize and adjust individual workload to ensure departmental goals are met * Assume responsibility for ad-hoc projects or functions that promote the future success of the operation **Essential Qualifications** * High School Diploma / GED OR 10+ years of equivalent working experience * 2+ years of Customer Service experience * Must be 18 years of age or older * Ability to type a minimum of 40 words per minute * Ability to work two evening shifts per week (typically 11am-8pm EST) * Ability to work three Holidays not observed by Client (Day after Thanksgiving, Christmas Eve, New Year's Day) * Ability to successfully complete the Customer Service training classes and demonstrate proficiency of the material * Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 8:00pm CST. It may be necessary, given the business need, to work occasional overtime. **Preferred Qualifications** * 1+ years prior experience in an automatic call distribution call center setting * Knowledge of CPT/ICD10 coding * Knowledge of Medicare/Medicaid guidelines **Telecommuting Requirements** * Ability to keep all company sensitive documents secure (if applicable) * Required to have a dedicated work area established that is separated from other living areas and provides information privacy. * Must live in a location that can receive a blithequark-approved high-speed internet connection or leverage an existing high-speed internet service. **Soft Skills** * Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (responding in respectful, timely manner, consistently meeting commitments) * Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests, and identify the current and future needs of the member * Proficient problem-solving approach to quickly assess current state and formulate recommendations * Proficient in translating healthcare-related jargon 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 in a stressful situation and demonstrating personal resilience * Ability to work regularly scheduled shifts within our hours of operation, including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed **Compensation and Benefits** We offer a competitive hourly rate, ranging from $16.00 to $27.31 per hour, depending on your location and experience. In addition to your salary, blithequark offers a comprehensive benefits package, including: * Comprehensive benefits package * Incentive and recognition programs * Equity stock purchase * 401k contribution (all benefits are subject to eligibility requirements) **Why Join blithequark?** At blithequark, we're committed to creating a workplace culture that values and celebrates individual differences. We believe that diversity creates a healthier atmosphere, and we're proud to be an Equal Employment Opportunity / Affirmative Action employer. We're dedicated to making a positive impact on people's lives and creating a healthier world for everyone. If you're passionate about delivering exceptional customer service and making a difference in healthcare, we invite you to join our team. Apply now and take the first step towards a rewarding career with blithequark. Apply Job! Apply for this job