Experienced Customer Service Representative for Healthcare Claims and Benefits – Remote Opportunity in Nebraska

Remote, USA Full-time
Introduction to blithequark At blithequark, we are passionate about making a difference in the lives of healthcare providers, veterans, and beneficiaries by providing exceptional customer service and support. As a leader in the industry, we are committed to lowering healthcare administrative costs for federal government agencies, payers, and providers. Our mission is to improve the health of our clients' business and make the lives of the people we work with better. We are looking for talented and dedicated individuals to join our team and help us achieve our goals. About the Role We are seeking an experienced Customer Service Representative to join our team in Nebraska. As a Customer Service Representative, you will be responsible for answering incoming calls from healthcare providers, veterans, and beneficiaries who require assistance with claims and benefits. You will be the first point of contact for our customers, and your goal will be to provide first call resolution and ensure caller satisfaction. If you are a people person, enjoy helping others, and are passionate about delivering exceptional customer service, we want to hear from you! Key Responsibilities Answer incoming calls from healthcare providers, veterans, and beneficiaries to gather required information and make determinations Conduct every transaction with a customer-focused, courteous approach to ensure first call resolution and achieve quality scores while maintaining production standards Research and evaluate medical claims and benefits for proper adjudication Document call activity and make requests for corrective action into VA systems Maintain a working knowledge of applicable VA regulations as they relate to 72-hour notification requirements Maintain access for all client systems, as assigned Act as an effective team member and collaborate with others to achieve common goals Other duties as assigned Requirements and Qualifications To be successful in this role, you will need to have: High School Diploma or GED required Preferred 1-2 years' experience in customer service General office skills and knowledge of standard office equipment Working knowledge of software such as Excel and Word Data entry and 10 key experience necessary Excellent verbal and written communication skills Personal traits of a high-level commitment, motivation, energy, team orientation, professionalism, trust, personal honesty and integrity, and a demonstration of placing others in a place of high value Essential Skills and Competencies Strong communication and interpersonal skills Ability to work in a fast-paced environment and prioritize multiple tasks Problem-solving and analytical skills Ability to maintain confidentiality and handle sensitive information Strong attention to detail and accuracy Ability to work independently and as part of a team Career Growth and Development At blithequark, we are committed to the growth and development of our employees. We offer a range of training and development opportunities to help you build your skills and advance your career. Our performance-driven atmosphere and competitive pay structure are designed to reward your hard work and dedication. We also offer a range of benefits, including health insurance, paid vacation, and a 401(k) program with employer match. Work Environment and Culture Our work environment is dynamic and fast-paced, with a focus on teamwork and collaboration. We are a solutions-based organization that values passion, integrity, courage, and respect in all interactions. We are committed to making a positive impact on the lives of our customers and employees, and we are looking for individuals who share our values and are passionate about making a difference. Compensation and Benefits We offer a competitive compensation package, including: Health insurance for our associates Fully paid life insurance Fully paid short- and long-term disability Paid vacation Paid sick leave Paid holidays Professional development and tuition assistance program 401(k) program with employer match Referral bonuses Hybrid and remote opportunities Conclusion If you are a motivated and customer-focused individual who is passionate about delivering exceptional service, we want to hear from you! Our Customer Service Representative role is a great opportunity to join a dynamic and growing organization and make a positive impact on the lives of our customers. Apply today to join our team and start your career with blithequark! How to Apply To apply for this role, please submit your application, including your resume and a cover letter, to our website. We thank all applicants for their interest; however, only those selected for an interview will be contacted. Equal Employment Opportunity blithequark is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that reflects the diversity of our customers and employees. U.S. Citizenship Requirement Please note that U.S. citizenship is required for all positions at blithequark, and work on all positions must be completed in the continental United States, Alaska, or Hawaii. Nebraska Residency Requirement Please note that residency in Nebraska is required for this role. Apply for this job
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