Experienced Customer Service Representative - Behavioral Health Advocate for Exceptional Patient Care and Support

Welcome to blithequark: Where Compassion Meets Innovation At blithequark, we are driven by a singular purpose: to bring our heart to every moment of your health. This guiding principle inspires our commitment to deliver human-centric health care that is both personal and transformative. As a leader in the health care industry, we recognize that the way we deliver our services is just as important as the services themselves. Our Heart At Work Behaviors support this purpose, empowering every team member to play a vital role in shaping our culture and driving innovation. Job Overview: Behavioral Health Customer Service Representative We are seeking a compassionate and dedicated Behavioral Health Customer Service Representative to join our team. As a key advocate for our members, you will provide exceptional care and support, guiding them through their plan of benefits, policy, and procedures. Your expertise will help members navigate the complexities of their care, ensuring they receive the best possible outcomes. This is a fully remote role, offering the flexibility to work from the comfort of your own home, with a schedule of Monday-Friday, 8:00 AM-4:30 PM EST. Key Responsibilities: Guide members through their plan of benefits, Aetna policy, and procedures, ensuring compliance with regulatory guidelines Create an emotional connection with members, understanding and engaging with them to champion their best health Build trusting and caring relationships with members, taking accountability for fully understanding their needs Anticipate customer needs, performing reviews of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible Perform financial data maintenance as necessary and explain members' rights and responsibilities in accordance with their contract Essential Qualifications: 1 to 3 years of customer service experience within a call center atmosphere High School Diploma or GED Preferred Qualifications: Previous Behavioral Health experience Medical or Insurance background Associate's Degree What We Offer: At blithequark, we recognize that our employees are our greatest asset. That's why we offer a comprehensive range of benefits, including: A competitive pay range of $17.00 - $28.46 per hour Eligibility for a blithequark bonus, commission, or short-term incentive program A full range of medical, dental, and vision benefits A 401(k) retirement savings plan and an Employee Stock Purchase Plan A fully-paid term life insurance plan, short-term and long-term disability benefits Numerous well-being programs, education assistance, and free development courses A blithequark 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 and Development: At blithequark, we are committed to helping our employees grow and develop in their careers. We offer a range of training and development programs, including: Free development courses to enhance your skills and knowledge Education assistance to support your ongoing education and career advancement Opportunities for career advancement and professional growth Our Culture and Values: At blithequark, we pride ourselves on our unique culture and values. We are a team of self-disciplined, hard-working, curious, trustworthy, humble, and truthful individuals who are passionate about making a difference in the lives of our members. We believe in collaboration, innovation, and teamwork, and we recognize that our employees are the key to our success. Why Join blithequark? By joining blithequark, you will become part of a team that is dedicated to transforming the health care industry. You will have the opportunity to work with a talented and compassionate team, to develop your skills and knowledge, and to make a real difference in the lives of our members. If you are a motivated and compassionate individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity. How to Apply: To apply for this role, please click on the "Apply Job" link and follow the instructions to submit your application. We look forward to hearing from you and exploring how you can join our team to make a difference in the lives of our members. Diversity and Inclusion: blithequark is an equal opportunities employer, committed to diversity and inclusion. We welcome applications from qualified candidates of all backgrounds, and we are committed to creating a workplace that is inclusive and respectful of all employees. Conclusion: Thank you for considering this exciting opportunity to join blithequark as a Behavioral Health Customer Service Representative. We believe that this role offers a unique opportunity to make a real difference in the lives of our members, and we look forward to hearing from you. Please do not hesitate to contact us if you have any questions or require further information. Apply for this job