Experienced Remote Medical Customer Service Representative – Healthcare Advocate and Community Liaison

Introduction to blithequark

At blithequark, we are dedicated to transforming the healthcare landscape by providing exceptional customer service and advocacy to our members. As a leader in the industry, we strive to create a community presence that promotes member education, identifies, and resolves systemic barriers that limit access to appropriate care. Our mission is to ensure that our members have access to the best possible healthcare services, and we are committed to making a positive impact in the lives of those we serve.

Job Overview

We are seeking an experienced and compassionate Remote Medical Customer Service Representative to join our team. As a healthcare advocate and community liaison, you will play a vital role in ensuring that our members receive the highest level of care and support. Your primary responsibility will be to act as an advocate for our members, serving as a liaison between our health plan and providers to ensure availability and access to care. If you are passionate about making a difference in the lives of others and have a strong background in customer service and healthcare, we encourage you to apply for this exciting opportunity.

Key Responsibilities

• Receive and respond to member complaints and formal grievances, identifying potential access barriers and resolving them in accordance with our grievance procedure.
• Investigate and resolve access and cultural sensitivity issues identified by member services staff, state staff, providers, advocacy organizations, and recipients.
• Participate in local community organizations to acquire knowledge and insight regarding the special healthcare needs of our members and update and revise educational materials as appropriate.
• Serve as the primary contact for member advocacy groups, human services agencies, and state entities.
• Maintain confidentiality per HIPAA guidelines, ensuring that all member information is handled with the utmost care and discretion.

Essential Qualifications

To be successful in this role, you will need to possess the following essential qualifications:

• High school diploma or equivalent.
• At least 3 years of customer service experience in a healthcare environment, with a strong understanding of the healthcare industry and its complexities.
• Medicare and/or Medicaid experience is preferred, as is bilingual proficiency in Spanish.

Preferred Qualifications

While not required, the following preferred qualifications will make you a more competitive candidate:

• Experience working with diverse populations and communities, with a strong understanding of the social determinants of health.
• Knowledge of healthcare regulations and laws, including HIPAA and the Affordable Care Act.
• Excellent communication and interpersonal skills, with the ability to build strong relationships with members, providers, and community organizations.

Skills and Competencies

To excel in this role, you will need to possess the following skills and competencies:

• Customer service skills: The ability to provide exceptional customer service, responding to member inquiries and resolving issues in a timely and professional manner.
• Communication skills: Excellent verbal and written communication skills, with the ability to communicate complex information in a clear and concise manner.
• Problem-solving skills: The ability to analyze problems and develop effective solutions, working collaboratively with others to resolve issues and improve processes.
• Cultural competence: A strong understanding of the cultural and linguistic needs of our members, with the ability to provide culturally sensitive care and support.

Career Growth Opportunities and Learning Benefits

At blithequark, we are committed to the growth and development of our employees. As a Remote Medical Customer Service Representative, you will have access to a range of career growth opportunities and learning benefits, including:

• Professional development training and education, to help you build your skills and knowledge in the healthcare industry.
• Mentorship and coaching, to support your career growth and development.
• Opportunities for advancement, as you gain experience and build your expertise in the field.

Work Environment and Company Culture

At blithequark, we pride ourselves on our positive and supportive work environment. As a remote employee, you will be part of a virtual team that is dedicated to making a difference in the lives of our members. Our company culture is built on the following values:

• Compassion: We are committed to providing exceptional care and support to our members, with a focus on empathy and understanding.
• Integrity: We operate with the highest level of integrity, ensuring that all interactions with members, providers, and community organizations are transparent and honest.
• Respect: We value diversity and inclusion, recognizing the importance of cultural competence in the delivery of healthcare services.

Compensation, Perks, and Benefits

As a Remote Medical Customer Service Representative at blithequark, you will be eligible for a range of compensation, perks, and benefits, including:

• Competitive salary and bonus structure, recognizing your contributions to the team and the organization.
• Comprehensive benefits package, including medical, dental, and vision coverage, as well as retirement savings and paid time off.
• Opportunities for professional development and growth, with a focus on building your skills and expertise in the healthcare industry.

Conclusion

If you are a motivated and compassionate individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. As a Remote Medical Customer Service Representative at blithequark, you will be part of a team that is dedicated to providing exceptional care and support to our members. With a focus on career growth and development, a positive and supportive work environment, and a range of compensation, perks, and benefits, this is an opportunity that you won't want to miss. Apply today to join our team and start making a difference in the lives of our members!