Government Programs Customer Service Representative - Delivering Exceptional Support in a Dynamic, Fully Remote Environment at blithequark

Transforming Customer Experience in the Government Programs Sector

At blithequark, we're on a mission to revolutionize oral health through comprehensive benefit plans, advocacy, and community support. As a leading dental plan administrator, we're part of a larger ecosystem that operates two of the nation's largest dental networks. Our All In culture embodies a mindset, feeling, and attitude that permeates every aspect of our work - from professional growth to community engagement.

Job Summary

We're seeking highly skilled and dedicated professionals to join our team as Government Programs Customer Service Representatives. As a key member of our customer service team, you will be the face of blithequark, providing top-notch support to our members, clients, and providers through various channels. This is a fully remote opportunity, allowing you to work from the comfort of your own space while making a meaningful impact in the lives of others.

Key Responsibilities

• Respond promptly and professionally to customer inquiries via phone, email, fax, and U.S. mail, ensuring effective communication and resolution.
• Clearly and accurately convey eligibility, benefit, claim status, and payment information, addressing customer concerns in a timely and satisfactory manner.
• Identify the root cause of customer inquiries and provide appropriate solutions within established timeframes and regulatory guidelines.
• Assist customers with grievance and claims appeals processes, ensuring a smooth and efficient experience.
• Maintain accurate and thorough documentation in our customer relationship management system, capturing all relevant details of customer interactions.
• Adhere to regulatory requirements and industry standards, upholding the highest level of compliance and integrity.
• Meet or exceed quality standards and call center metrics, driving continuous improvement and excellence in customer service.
• Enter and adjust claims as required, ensuring seamless processing and resolution.

Essential Qualifications

• High school diploma or equivalent required; associate's degree in business administration or a related field preferred.
• Minimum two years of customer service experience in a business environment, preferably in a call center setting with experience handling Medicare and/or Medicaid-related inquiries.
• Proficient in using personal computers and software applications, including Windows, to effectively assist customers.
• Successful completion of customer service simulation, multitasking, and email composition assessments with minimum scores of 62, 65, and 62, respectively.
• Ability to work an assigned eight-hour schedule, Monday through Friday, with start times as early as 7:55 a.m. and end times as late as 11:00 p.m.

Preferred Qualifications

• Previous experience in a dental benefits or healthcare organization.
• Familiarity with government programs, such as Medicare and Medicaid.
• Strong knowledge of customer service principles and practices.
• Excellent communication and problem-solving skills.

Skills and Competencies

To succeed in this role, you'll need to possess a unique blend of skills and competencies, including:

• Exceptional customer service skills, with a focus on empathy, active listening, and effective communication.
• Strong problem-solving and analytical skills, with the ability to navigate complex customer inquiries.
• Proficiency in using software applications and technology to drive efficient customer service.
• Ability to work in a fast-paced, dynamic environment, prioritizing tasks and managing multiple customer interactions.
• Strong attention to detail, with a focus on accuracy and quality in customer interactions and documentation.

Career Growth Opportunities

At blithequark, we're committed to helping our employees grow and develop in their careers. As a Government Programs Customer Service Representative, you'll have access to:

• Ongoing training and development programs to enhance your skills and knowledge.
• Opportunities for career advancement and professional growth within the organization.
• A supportive and collaborative work environment that encourages innovation and excellence.

Work Environment and Company Culture

As a fully remote employee, you'll enjoy the flexibility and autonomy to work from anywhere. Our All In culture is built on a foundation of diversity, equity, and inclusion, celebrating diverse thought and promoting a sense of community and belonging.

Compensation, Perks, and Benefits

We offer a comprehensive benefits package, including:

• Medical, dental, and vision coverage.
• Short- and long-term disability insurance.
• Life insurance.
• 401(k) savings plans and flex spending accounts.
• Tuition reimbursement and educational assistance.
• Annual incentive compensation based on business performance.
• Paid volunteer time and access to on-staff health coaches and personal trainers.

Join Our Team

If you're passionate about delivering exceptional customer service and making a meaningful impact in the lives of others, we want to hear from you. At blithequark, we're committed to creating a workplace that's inclusive, supportive, and empowering. Apply today to join our team as a Government Programs Customer Service Representative and discover a career that's All In on your success.